# HOME HEALTH AGENCY- BREVARD, LLC

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

## Provider details

- **NPI number:** 1518914555
- **Authorized official:** MS. ROBIN COHEN (REGULATORY AFFAIRS)
- **Authorized official phone:** (954) 707-5880

## Contact information

- **Practice address:** 720 W OAK ST, SUITE 303, KISSIMMEE, FL 34741-4989
- **Practice address phone:** (407) 933-1400
- **Practice address fax:** (407) 933-1450
- **Mailing address:** 720 W OAK ST, SUITE 303, KISSIMMEE, FL 34741-4989
- **Mailing address phone:** (407) 933-1400
- **Mailing address fax:** (407) 933-1450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 299992050 | FL | Yes |

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 12/07/2011