Organization
SUNCREST HOME HEALTH OF TAMPA, LLC
Active
Other names
SunCrest OMNI
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L. PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
1413 TECH BLVD STE 122, TAMPA, FL 33619-7822
(813) 288-8001
(813) 288-9501
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004308300
—
FL
Enumeration date
12/02/2010
Last updated
09/08/2025
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