Organization Active NPI

Suncrest Home Health of Tampa, LLC

Doing business as SunCrest OMNI

  • Attendant Care Provider
  • Tampa, FL
National Provider Identifier
1992007561
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
004308300MedicaidFL

Other names 1

  • SunCrest OMNI Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.