Active NPI
Suncrest Home Health of Tampa, LLC
Doing business as SunCrest OMNI
- Attendant Care Provider
- Tampa, FL
National Provider Identifier
1992007561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- Legal business name
- SUNCREST HOME HEALTH OF TAMPA, LLC
- Doing business as
- SunCrest OMNI
- Practice address
- 1413 Tech Blvd Ste 122
Tampa, FL 33619-7822 - Phone
- (813) 288-8001
- Fax
- (813) 288-9501
- NPI assigned
- Dec 2, 2010
- Last updated
- Sep 8, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua L. Proffitt
- Title
- President
- Phone
- (337) 233-1307
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | ||
| Attendant Care Provider | 3747A0650X | NU | Primary |
Addresses
Primary practice location
1413 Tech Blvd Ste 122
Tampa, FL 33619-7822
Mailing address
PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307
Other practice location 1
1413 Tech Blvd Ste 126
Tampa, FL 33619-7822
Phone (813) 288-8001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004308300 | Medicaid | FL |
Other names 1
- SunCrest OMNI
National Provider Directory
National Provider DirectoryLocations
1413 Tech Blvd
Ste 122
Tampa, FL 33619
Phone (813) 305-2867
1413 Tech Blvd
Ste 126
Tampa, FL 33619
Phone (813) 288-8001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291248000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757289600000",
"number": "1992007561",
"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": "337-443-4154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1413 TECH BLVD STE 122",
"city": "TAMPA",
"state": "FL",
"postal_code": "336197822",
"telephone_number": "813-288-8001",
"fax_number": "813-288-9501"
}
],
"practiceLocations": [
{
"address_1": "1413 Tech Blvd Ste 126",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336197822",
"country_code": "US",
"telephone_number": "813-288-8001",
"fax_number": "813-288-9501",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SUNCREST HOME HEALTH OF TAMPA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-02",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"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"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004308300",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SunCrest OMNI",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SunCrest OMNI",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.