NPIMap

Organization Active NPI

Suncrest Healthcare of Middle TN, LLC

Doing business as SunCrest Home Health

  • Home Health Agency
  • Nashville, TN
National Provider Identifier
1326103706
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0000000070 Issued in TN
Legal business name
SUNCREST HEALTHCARE OF MIDDLE TN, LLC
Doing business as
SunCrest Home Health
Practice address
3443 Dickerson Pike Ste 390
Nashville, TN 37207-2557
Phone
(615) 865-9841
Fax
(615) 860-6392
NPI assigned
Dec 26, 2006
Last updated
Sep 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Mr. Joshua L Proffitt
Title
President
Phone
(337) 233-1307

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Home Health Agency 251E00000X 0000000070 TN Primary

Addresses

Primary practice location

3443 Dickerson Pike Ste 390
Nashville, TN 37207-2557

Mailing address

PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307

Other practice location 1

1210 Briarville Road
Madison, TN 37115
Phone (615) 865-9841

Other identifiers 1

IdentifierTypeStateIssuer
00447403MedicaidTN

Other names 1

  • SunCrest Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070412000522 TN Part A Provider - Home Health Agency 6800991282 Practice locations: Gallatin, TN; Hendersonville, TN; Nashville, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326103706. Details of each certification follow.

Home health agency certification: CCN 447403

Legal name
SUNCREST HEALTHCARE OF MIDDLE TN, LLC
Doing business as
SUNCREST HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 11, 1984
Last certification
Oct 31, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Nov 20, 2006 in TN
Enrollment address
3443 Dickerson Pike
Ste 390
Nashville, TN 37207-2519

Care Compare: Home health agency

Medicare Care Compare
Listed as
Suncrest Home HealthCCN 447403 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jun 11, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0707163Suncrest Healthcare of Middle TN, LLC3443 Dickerson Pike Suite 390, Nashville, TN 37207Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Suncrest Healthcare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2150 Wilma Rudolph Blvd
Clarksville, TN 37040
Phone (931) 647-7411

705 Highway 70 E
Dickson, TN 37055
Phone (615) 446-8282

705 Highway 70 E
#9
Dickson, TN 37055
Phone (615) 446-8282

600 Nashville Pike
Ste 200
Gallatin, TN 37066
Phone (615) 451-6878

44 Brattontown Cir
Lafayette, TN 37083
Phone (615) 666-7250

1432 W Main St
Ste 402
Lebanon, TN 37087
Phone (615) 444-1880

168 Cude Ln
Madison, TN 37115
Phone (615) 694-5899

1034 N Highland Ave
Ste D
Murfreesboro, TN 37130
Phone (615) 225-4090

215 Castlewood Dr
Ste C
Murfreesboro, TN 37129
Phone (615) 225-4090

3343 Perimeter Hill Dr
Ste 115
Nashville, TN 37211
Phone (615) 342-6800

3443 Dickerson Pike
Ste 390
Nashville, TN 37207
Phone (615) 517-4884

510 Recovery Rd
Ste 200
Nashville, TN 37211
Phone (615) 837-3731

6509 Highway 41A
Ste 110
Pleasant View, TN 37146
Phone (615) 746-0193

934 S Broadway St
Ste D
Portland, TN 37148
Phone (615) 325-3600

12124 Highway 52 W
Ste 2
Westmoreland, TN 37186
Phone (615) 666-7250

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Feb 22, 2023 100%
Marcus Donavon Macip Individual Corporate OfficerCorporate Secretary Feb 22, 2023
Kimberly Seymour Individual Corporate OfficerTreasurer Feb 22, 2023
Omni Home Health Holdings Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest May 20, 2011 100%
Paula Farrell Individual W-2 Managing EmployeeAdministrator/Director of Nursing Dec 14, 2018
Wendy S Daigle Individual Corporate DirectorDirector of Licensure & Reg Affairs Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Apr 1, 2018 100%
Operational/Managerial Control Apr 1, 2018
Joshua Lee Proffitt Individual Corporate OfficerPresident Apr 1, 2016
Almost Family, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Dec 7, 2013 100%
National Health Industries, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Dec 7, 2013 100%
Sun Crest Healthcare Inc Organization, Lafayette, LA Corporation 5% Or Greater Direct Ownership Interest Dec 7, 2013 100%

Facilities with the same owner 111

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 111

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 25

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1326103706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-233-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 DICKERSON PIKE STE 390",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072557",
            "telephone_number": "615-865-9841",
            "fax_number": "615-860-6392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1210 Briarville Road",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "TN",
            "postal_code": "37115",
            "country_code": "US",
            "telephone_number": "615-865-9841",
            "fax_number": "615-860-6392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUNCREST HEALTHCARE OF MIDDLE TN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "0000000070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00447403",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SunCrest Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SunCrest Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.