Organization
OMNI HOME HEALTH
Active
Other names
SUNCREST HOME HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM ANDREWS (DIRECTOR BILLING A/R COLLECTIONS)
(615) 712-2248
Entity
Organization
Contact information
Practice address
510 HOSPITAL DR STE 101, MADISON, TN 37115-5033
(615) 712-2248
Mailing address
510 HOSPITAL DRIVE SUITE 101, MADISON, TN 37115
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010713588
TRICARE
FL
01
—
010713878
TRICARE
—
01
—
200375966
TRICARE
FL
01
—
200527436
TRICARE
FL
01
—
200832146
TRICARE
FL
01
—
201657488
TRICARE
FL
01
—
272020510
TRICARE
FL
01
—
510606314
TRICARE
FL
01
—
593754764
TRICARE
FL
01
—
593757320
TRICARE
FL
01
—
593757325
TRICARE
FL
Enumeration date
05/31/2012
Last updated
05/31/2012
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