# SUNCREST HOME HEALTH OF CENTRAL FL, LLC

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

## Provider details

- **NPI number:** 1558684910
- **Authorized official:** AMANDA MCFADDIN (DIRECTOR OF LICENSING/ACCREDITATION)
- **Authorized official phone:** (615) 712-2250

## Contact information

- **Practice address:** 994 DOUGLAS AVE, SUITE 100, ALTAMONTE SPRINGS, FL 32714-2068
- **Practice address phone:** (407) 328-9993
- **Practice address fax:** (407) 328-8227
- **Mailing address:** 510 HOSPITAL DR, SUITE 150, MADISON, TN 37115-5033
- **Mailing address phone:** (615) 627-9267
- **Mailing address fax:** (615) 577-0081

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 299992128 | FL | Yes |

## Other

- **Enumeration date:** 03/12/2010
- **Last updated:** 09/16/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004232000 | — | FL |