Omni Home Health - District 2, LLC
Organization Active NPI Home Health Agency · Tallahassee, FL
NPI 1891024097 · NPPES record last updated Apr 25, 2024
Key facts
- NPI
- 1891024097
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 299993723 (FL)
- Legal business name
- OMNI HOME HEALTH - DISTRICT 2, LLC
- Practice address
- 4004 Norton LN Ste 103
Tallahassee, FL 32308-5973 - Phone
- (850) 222-5552
- Fax
- (850) 222-5556
- NPI assigned
- Dec 17, 2009
- Organization subpart
- No
Authorized official
- Name
- Mr. Joshua L Proffitt
- Title
- President
- Phone
- (337) 233-1307
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Facilities with the same owner 111
Practitioners 1
-
Kyle W Christ, PT, DPT
Affiliated clinicians 9
-
Cory Hutson Collins, ARNP
-
Pamela Paige Garcia, ARNP
-
Marino Antonio Martinez, M.D.
-
Yvette Mignon, MD
-
Laura Rosner, M.D.
-
Heather Dawn Upchurch, FNP-BC
-
Hugh Vanlandingham, M.D.
-
Brian Michael Allen, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Suncrest Omni
- Overall star rating
- ★★★★★ 4.5 of 5
- Ownership
- Proprietary
- Certified
- Apr 7, 2011
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2017198 | Suncrest Omni | Certificate of waiver | Dec 6, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Home health agency certification: CCN 109670
- Legal name
- OMNI HOME HEALTH - DISTRICT 2, LLC
- Doing business as
- SUNCREST OMNI
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Apr 7, 2011
- Last certification
- Oct 1, 2020
- Ownership / control type
- Proprietary
- Organization structure
- LLC · Proprietary
- Incorporated
- Dec 18, 2003 in FL
- Enrollment address
- 4004 Norton LN
Ste 103
Tallahassee, FL 32308-5973
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Unitedhealth Group Incorporated |
5% Or Greater Indirect Ownership Interest | Feb 22, 2023 | 100% |
| Marcus Donavon Macip |
Corporate Officer |
Feb 22, 2023 | |
| Kimberly Seymour |
Corporate Officer |
Feb 22, 2023 | |
| Omni Home Health Holdings Inc |
5% Or Greater Indirect Ownership Interest | Jul 1, 2010 | 100% |
| Wendy S Daigle |
Corporate Director |
Oct 1, 2022 | |
| LHC Group Inc |
5% Or Greater Indirect Ownership Interest | Apr 1, 2018 | 100% |
| Omni Home Health Services LLC |
5% Or Greater Direct Ownership Interest | Jul 1, 2010 | 100% |
| Joshua Lee Proffitt |
Corporate Officer |
Apr 1, 2018 | |
| Almost Family, Inc. |
5% Or Greater Indirect Ownership Interest | Dec 7, 2013 | 100% |
| National Health Industries, Inc. |
5% Or Greater Indirect Ownership Interest | Dec 6, 2013 | 100% |
| Amy Cormier |
Corporate Director |
May 1, 2025 | |
| Caron Renee Drake |
W-2 Managing Employee |
Sep 25, 2025 | |
| Shannon Griffin |
W-2 Managing Employee |
May 13, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101008000731 | FL | Part a Provider - Home Health Agency | 2062400682 | Practice locations: Tallahassee, FL |
National Provider Directory
- Tax ID family
- Omni Home Health - District 2 LLC
Locations
2211 S Highway 77
Ste 204
Lynn Haven, FL 32444
Phone (850) 215-4061
4004 Norton Ln
Ste 103
Tallahassee, FL 32308
Phone (850) 222-5552
911 E Park Ave
Tallahassee, FL 32301
Phone (850) 222-5552
4004 Norton Ln
Ste 204
Tallahassee, FL 32308
Phone (850) 222-5552
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 299993723 | FL | Yes |
Addresses
Primary practice location
4004 Norton LN Ste 103
Tallahassee, FL 32308-5973
Mailing address
PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307
Other names
- SunCrest OMNI
Other providers in Tallahassee, FL
- Quinzetta Monique Oliver
- Rachel Oliver
- Ellen McLean Olsen
- Emily Olson
- Ogenna Omenugha
- Adekunle Festus Omotayo
- Folayemi Jane Omotayo
- On Site Therapy LLC
- On the Move Therapy, LLC
- Tljour Oneal
All providers in Tallahassee, FL · Home Health Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.