# SUNCREST HOME HEALTH OF TAMPA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SunCrest OMNI
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245872225
- **Authorized official:** NICHOLAS GACHASSIN III (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (337) 233-1307

## Contact information

- **Practice address:** 311 PARK PLACE BLVD STE 120, CLEARWATER, FL 33759-4904
- **Practice address phone:** (727) 260-6680
- **Practice address fax:** (727) 441-8311
- **Mailing address:** PO BOX 51266, LAFAYETTE, LA 70505-1266
- **Mailing address phone:** (337) 233-1307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/11/2019
- **Last updated:** 04/20/2021