SUNCREST OMNI
NPI 1124012976
Home Health in Lake City, FL

Active since September 08, 2005CLIA 10D0992810 · Waiver
426 SW COMMERCE DR STE 110, LAKE CITY, FL 32025(386) 754-6671(386) 754-8673 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 22, 2023, Nov 21, 2018 (2 updates tracked since 2018).

About Suncrest Omni NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNCREST OMNI (NPI 1124012976) is a healthcare organization registered as a home health in Lake City, Florida and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through October 25, 2027 and lists Joshua L. Proffitt, President, as its authorized official.

NPPES Registry Identity

NPI1124012976
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameOMNI HOME HEALTH HERNANDO, LLC
Location Address426 SW COMMERCE DR STE 110Lake City, FL 32025-1506
Mailing AddressPo Box 51266Lafayette, LA 70505-1266 · (337) 233-1307 · Fax (337) 233-5764
Fax(386) 754-8673
Organization SubpartNo
Authorized OfficialJoshua L. ProffittPresident · (337) 233-1307
Enumeration DateSeptember 8, 2005
Last NPPES UpdateJune 22, 20232 updates tracked since enumeration
NPPES CertifiedApril 28, 2021
NPI 1124012976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License Licensed in FL · 299991577
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
426 SW COMMERCE DR STE 110, Lake City, FL 32025

Other Names 1

Doing Business AsSuncrest Omni

Other Identifiers 1

Medicaid004157000FL

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0992810

Suncrest Omni · Lake City, FL
Active · expires Oct 25, 2027
CLIA Number10D0992810
Laboratory TypeHome Health Agency
Certificate Effective DateOctober 26, 2025
Certificate Expiration DateOctober 25, 2027
Laboratory DirectorDreema Bowser
Laboratory Phone(352) 628-4900
Laboratory LocationSuncrest Omni426 SW Commerce Drive, Ste 110, Lake City, FL 32025
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omni Home Health Hernando, LLC's NPI number?

The NPI number for Omni Home Health Hernando, LLC is 1124012976. It was assigned to this organization in the NPPES registry on September 8, 2005. The provider is doing business as Suncrest Omni.

Where is Omni Home Health Hernando, LLC located?

Omni Home Health Hernando, LLC is located at 426 SW Commerce Dr Ste 110, Lake City, FL 32025. The listed phone number is (386) 754-6671.

What is Omni Home Health Hernando, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Omni Home Health Hernando, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0992810) is associated with this NPI, valid through October 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Omni Home Health Hernando, LLC accept?

Health plans from UnitedHealthcare list Omni Home Health Hernando, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Omni Home Health Hernando, LLC was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.