Organization
HOME HEALTH AGENCY-HILLSBOROUGH, LLC
Active
Other names
SunCrest OMNI
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA MCFADDIN (DIRECTOR OF LICENSING/ACCREDITATION)
(615) 712-2250
Entity
Organization
Contact information
Practice address
4910 14TH ST W, SUITE 103, BRADENTON, FL 34207-2405
(941) 932-9118
(941) 932-9119
Mailing address
510 HOSPITAL DR, SUITE 150, MADISON, TN 37115-5033
(615) 627-9267
(615) 577-0081
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299993406
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004159201
—
FL
01
—
299993406
STATE LICENSE
FL
Enumeration date
10/03/2006
Last updated
06/08/2012
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