Home Health Agency-Hillsborough, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299993406 Issued in FL

Legal business name

HOME HEALTH AGENCY-HILLSBOROUGH, LLC

Doing business as

SunCrest OMNI

Practice address

4910 14TH St W
Suite 103
Bradenton, FL 34207-2405

Phone

(941) 932-9118

Fax

(941) 932-9119

NPI assigned

Oct 3, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amanda McFaddin

Title

Director of Licensing/Accreditation

Phone

(615) 712-2250

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SunCrest OMNI Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1235223900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 HOSPITAL DR",
            "address_2": "SUITE 150",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155033",
            "telephone_number": "615-627-9267",
            "fax_number": "615-577-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 14TH ST W",
            "address_2": "SUITE 103",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342072405",
            "telephone_number": "941-932-9118",
            "fax_number": "941-932-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH AGENCY-HILLSBOROUGH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "MCFADDIN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "DIRECTOR OF LICENSING/ACCREDITATION",
        "authorized_official_telephone_number": "615-712-2250"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299993406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004159201",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "299993406",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SunCrest OMNI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kendra Morris Holt, LCSW
• Victoria K Holt, MS, CCC-SLP
• Brian William Holyk, D.O.
• Home Care Medical Products
• Home Health
• Home Healthcare Group LLC (Boost Home Healthcare - Bradenton)
• Home NP Services of Florida LLC (Harmony Health)
• Home Primary Care Services, LLC
• Honor Mobile Healthcare PLLC
• Ashley Marie Hood, M.A., CCC-SLP

• Home Health Agency in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.