Organization
SUNCREST HOME HEALTH OF TAMPA, LLC
Active
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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