Home Health Agency - Brevard, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299991913 Issued in FL

Legal business name

HOME HEALTH AGENCY - BREVARD, LLC

Doing business as

SunCrest OMNI

Practice address

780 S Apollo Blvd
Suite 106
Melbourne, FL 32901-1402

Phone

(321) 752-9292

Fax

(321) 752-9284

NPI assigned

Sep 8, 2005

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 1

Other names 1

• SunCrest OMNI Doing business as

Locations

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1831183680",
    "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": "780 S APOLLO BLVD",
            "address_2": "SUITE 106",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011402",
            "telephone_number": "321-752-9292",
            "fax_number": "321-752-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH AGENCY - BREVARD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2012-06-29",
        "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": "299991913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004233700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SunCrest OMNI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Holt, ATC, DPT, PT, KTCC
• Robert Douglas Holt, R.PH.
• Ashley Holtzclaw
• Holy Trinity Episcopal Church
• Holz Foundation (Unified Behavioral Therapy, Inc.)
• Home Health Care of Florida
• Michael John Homerick, M.D.
• Payton M. Honaker, M.S., CF
• Alison Hood
• Jessica Hoofman, BCBA

• Home Health Agency in Melbourne, FL
• Providers in Melbourne, 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 29, 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.