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SUNCREST OMNI
NPI 1972559797
Home Health in Lakeland, FL

Active since May 25, 2006
2000 E EDGEWOOD DR, SUITE 103, LAKELAND, FL 33803(863) 667-3014(863) 667-3180 Get Directions Write a Review

NPPES record last updated: June 8, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Suncrest Omni NPPES

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

SUNCREST OMNI (NPI 1972559797) is a healthcare organization registered as a home health in Lakeland, Florida and active in the NPI registry since May 2006. The organization lists Amanad Mcfaddin, Director Of Licensing/accreditation, as its authorized official.

NPPES Registry Identity

NPI1972559797
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameHOME HEALTH AGENCY - HILLSBOROUGH, LLC
Location Address2000 E EDGEWOOD DR, SUITE 103Lakeland, FL 33803-3653
Mailing Address510 Hospital Dr, Suite 150Madison, TN 37115-5033 · (615) 627-9267 · Fax (615) 577-0081
Phone(863) 667-3014
Fax(863) 667-3180
Organization SubpartNo
Authorized OfficialAmanad McfaddinDirector Of Licensing/accreditation · (615) 712-2250
Enumeration DateMay 25, 2006
Last NPPES UpdateJune 8, 2012
✔ NPI 1972559797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in FL · 299992056
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.
2000 E EDGEWOOD DR, Lakeland, FL 33803
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Other Names 1

Doing Business AsSuncrest Omni

Other Identifiers 2

Medicaid004159202FL
Medicare OSCAR/certification108070FL

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

F MARK GOODWIN MD PA
Orthopaedic Surgery
2000 E EDGEWOOD DR, SUITE 110
LAKELAND, FL 33803
Polk County (863) 688-8401
DR. STUART DREW PATTERSON M.D.
Specialist
2000 E EDGEWOOD DR, STE 112
LAKELAND, FL 33803
Polk County (863) 666-3436
LISA MCINTOSH OTA
Occupational Therapy Assistant
2000 E EDGEWOOD DR, SUITE 114
LAKELAND, FL 33803
Polk County (863) 577-1981
JUDITH JOHNSON OT
Occupational Therapist (Hand)
2000 E EDGEWOOD DR, SUITE 114
LAKELAND, FL 33803
Polk County (863) 577-1981
CENTRAL FLORIDA ORTHOPAEDIC SURGERY ASSOCIATES PL
Orthopaedic Surgery
2000 E EDGEWOOD DR, SUITE 112
LAKELAND, FL 33803
Polk County (863) 666-3436
DR. FREDERICK MARK GOODWIN MD
Orthopaedic Surgery
2000 E EDGEWOOD DR, SUITE 112
LAKELAND, FL 33803
Polk County (863) 666-3436

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 Home Health Agency - Hillsborough, LLC's NPI number?

The NPI number for Home Health Agency - Hillsborough, LLC is 1972559797. It was assigned to this organization in the NPPES registry on May 25, 2006. The provider is doing business as Suncrest Omni.

Where is Home Health Agency - Hillsborough, LLC located?

Home Health Agency - Hillsborough, LLC is located at 2000 E Edgewood Dr Suite 103, Lakeland, FL 33803. The listed phone number is (863) 667-3014.

What is Home Health Agency - Hillsborough, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Home Health Agency - Hillsborough, LLC was last updated on June 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.