# HOME HEALTH AGENCY - HILLSBOROUGH, LLC

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

## Provider details

- **NPI number:** 1972559797
- **Authorized official:** AMANAD MCFADDIN (DIRECTOR OF LICENSING/ACCREDITATION)
- **Authorized official phone:** (615) 712-2250

## Contact information

- **Practice address:** 2000 E EDGEWOOD DR, SUITE 103, LAKELAND, FL 33803-3653
- **Practice address phone:** (863) 667-3014
- **Practice address fax:** (863) 667-3180
- **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 | 299992056 | FL | Yes |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 06/08/2012