# SUNCREST HOME HEALTH-SOUTHSIDE, LLC

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

## Provider details

- **NPI number:** 1871889956
- **Authorized official:** MR. MASRESHA KASSA CPA (CFO)
- **Authorized official phone:** (404) 564-7009

## Contact information

- **Practice address:** 1039 RIDGE AVE SW, ATLANTA, GA 30315-1601
- **Practice address phone:** (770) 393-2309
- **Practice address fax:** (770) 668-0522
- **Mailing address:** PO BOX 6687, ATLANTA, GA 30315-0687
- **Mailing address phone:** (404) 688-1350
- **Mailing address fax:** (404) 688-2962

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 044-293H | GA | Yes |

## Other

- **Enumeration date:** 06/27/2011
- **Last updated:** 07/09/2025