NPIMap

Organization Active NPI

Suncrest Home Health of South Ga, Inc.

Doing business as Crescent Home Health

  • Home Health Agency
  • Adel, GA
National Provider Identifier
1457583718
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
037-101 Issued in GA
Legal business name
SUNCREST HOME HEALTH OF SOUTH GA, INC.
Doing business as
Crescent Home Health
SunCrest Home Health
Practice address
1221 W 4TH St Ste 7
Adel, GA 31620-2906
Phone
(229) 896-8177
Fax
(229) 296-7880
NPI assigned
Aug 19, 2009
Last updated
Mar 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Authorized official

Name
Amber L Tueller
Title
Secretary
Phone
(208) 207-2726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 037-101 GA Primary

Addresses

Primary practice location

1221 W 4TH St Ste 7
Adel, GA 31620-2906

Mailing address

1221 W 4TH St Ste 7
Adel, GA 31620-2906
Phone (229) 896-8177

Other practice location 1

515 N Saint Augustine Rd Ste E&f
Valdosta, GA 31601-8471
Phone (229) 242-3509

Other identifiers 1

IdentifierTypeStateIssuer
00887983AMedicaidGA

Other names 2

  • Crescent Home Health Doing business as
  • SunCrest Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091112000063 GA Part A Provider - Home Health Agency 7416095419 Practice locations: Adel, GA; Valdosta, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457583718. Details of each certification follow.

Home health agency certification: CCN 117087

Legal name
SUNCREST HOME HEALTH OF SOUTH GA, INC.
Doing business as
CRESCENT HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 24, 1985
Last certification
Jan 24, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
1221 W 4TH St
Ste 7
Adel, GA 31620-2906

Care Compare: Home health agency

Medicare Care Compare
Listed as
Crescent Home HealthCCN 117087 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Sep 24, 1985
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
11D0879666Suncrest Home Health of South Georgia, Inc1221 W 4TH Street, Suite 7, Adel, GA 31620Certificate of waiverDec 1, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

110 E 4th St
Adel, GA 31620
Phone (229) 507-2521

305 N Hutchinson Ave
#B
Adel, GA 31620
Phone (229) 896-8177

1811 Green Cir
#A
Valdosta, GA 31602
Phone (229) 242-8990

4370 Kings Way
Ste D
Valdosta, GA 31602
Phone (229) 242-8990

515 N Saint Augustine Rd
Ste Ef
Valdosta, GA 31601
Phone (229) 242-3509

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Cornerstone Healthcare Inc Organization, Eagle, ID Corporation, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 1, 2025 100%
Brent Mills Individual Corporate OfficerTreasurer Mar 26, 2026
Brent Guerisoli Individual Corporate DirectorDirector & Sole Board Member Oct 1, 2025
The Pennant Group Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2025 100%
John J Gochnour Individual Corporate OfficerPresident Oct 1, 2025
Amber Tueller Individual Corporate OfficerSecretary Oct 1, 2025
Elliot McMillan Individual Corporate OfficerVice President Oct 1, 2025
Lindsey Troupe Individual W-2 Managing EmployeeAd; Jan 1, 2026

Facilities with the same owner 141

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

View all 141

Practitioners & affiliated clinicians

Affiliated clinicians 51

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

View all 51

NPI Registry JSON

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

{
    "created_epoch": "1250640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1457583718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 W 4TH ST STE 7",
            "city": "ADEL",
            "state": "GA",
            "postal_code": "316202906",
            "telephone_number": "229-896-8177",
            "fax_number": "229-896-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W 4TH ST STE 7",
            "city": "ADEL",
            "state": "GA",
            "postal_code": "316202906",
            "telephone_number": "229-896-8177",
            "fax_number": "229-296-7880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 N Saint Augustine Rd Ste E&f",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316018471",
            "country_code": "US",
            "telephone_number": "229-242-3509",
            "fax_number": "229-242-3595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUNCREST HOME HEALTH OF SOUTH GA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-19",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "037-101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00887983A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crescent Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SunCrest Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Adel, GA

Sources for this page

Verify at the official NPI Registry.