SUNCREST HOME HEALTH OF TAMPA, LLC


Address: 311 Park Place Blvd Ste 120, Clearwater, FL 33759-4904
Phone: 7272606680

SUNCREST HOME HEALTH OF TAMPA, LLC (NPI# 1245872225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245872225
Entity Type Organization
Organization Name SUNCREST HOME HEALTH OF TAMPA, LLC
Other Organization Name SUNCREST OMNI
Practice Address 311 Park Place Blvd Ste 120
Clearwater
FL 33759-4904
Mailing Address Po Box 51266
Lafayette
LA 70505-1266
Practice Telephone 7272606680
Practice Fax Number 7274418311
Mailing Telephone 3372331307
Enumeration Date 2019-10-11
Last Update Date 2020-06-22
Authorized Official Name NICHOLAS GACHASSIN III (EXECUTIVE VICE PRESIDENT)
Authorized Official Telephone 3372331307
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251E00000X Home Health Agencies
Y 253Z00000X In Home Supportive Care Agencies

Other Provider Identifier

State Issuer Identifier Type Code
FL 104652000 05

Other Provider/Organization Names

Other Name Type Code
SunCrest OMNI Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1992007561 Suncrest Home Health of Tampa, LLC Home Health 1413 Tech Blvd Ste 126, Tampa, FL 33619-7822 2010-12-02

Office Location

Street Address 311 PARK PLACE BLVD STE 120
City CLEARWATER
State FL
Zip Code 33759-4904

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487163119 Neil Hook, O.d. and Associates, P.a. Optometrist 2679 Gulf To Bay Blvd # 560-570, Clearwater, FL 33759 2017-09-26
1306366224 Caitlin Elise Sullivan Chiropractor 3000 Gulf To Bay Blvd Ste 201, Clearwater, FL 33759 2017-06-21
1881018851 Monica Adam Counselor 3491 Gandy Blvd., Suite 201, Pinellas Park, FLORIDA 33759 2014-02-12
1174868509 Red River Rehabilitation Skilled Nursing Facility 549 Sky Harbor Dr, Bldg 31, Clearwater, FL 33759 2012-12-12
1336485762 Red River Rehabilitation Skilled Nursing Facility 549 Sky Harbor Drive, Clearwater, FL 33759 2012-12-12
1710245279 Allison H Aschenbrenner Physical Therapist 2790 Gulf To Bay Boulevard, Suite C, Clearwater, FL 33759 2012-05-02
1538454954 Elizabeth M Smith Occupational Therapist 4902 Creekside Drive Suite A, Clearwater, FL 33759 2011-06-14
1487886164 Christina D Brown Psychologist 1700 N Mcmullen Booth Rd Ste C1, Clearwater, FL 33759 2009-08-14
1548408248 Len F. Leeb Counselor 2641 Harbor Circle, Clearwater, FL 33759 2009-02-03
1750544615 Dolphin II Diagostics Inc. Contractor 1700 N. Mcmullen Booth Rd Unit B-3, Clearwater, FL 33759 2008-07-09
Find all providers in zip 33759

Taxonomy Information

Taxonomy Code 253Z00000X
Grouping Agencies
Classification In Home Supportive Care

Taxonomy Definition

An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851999544 Js Home & Companion Care Inc In Home Supportive Care 1361 Terrace Rd, Clearwater, FL 33755-2059 2020-10-14
1710590625 Faithfully Favoured Home Care and Companion Services In Home Supportive Care 2770 Roosevelt Blvd Apt 2151, Clearwater, FL 33760-2543 2020-08-28
1457984098 Acti-kare In Home Supportive Care 2451 N Mcmullen Booth Rd Ste 228, Clearwater, FL 33759-1370 2020-02-21
1982237889 Castle Healthcare, Inc In Home Supportive Care 14202 62nd St N, Clearwater, FL 33760-2717 2020-02-19
1912473075 Concierge Care of Clearwater, LLC In Home Supportive Care 3000 Gulf To Bay Blvd Ste 203, Clearwater, FL 33759-4304 2018-10-16
1457877094 Healthcare Alliance LLC In Home Supportive Care 13575 58 St N, Ste 178, Clearwater, FL 33760 2017-08-15
1316358542 Best Care Providers, Inc In Home Supportive Care 1201 S Highland Ave Ste 2, Clearwater, FL 33756-4359 2014-05-09
1306287628 A Tender Touch In Home Services In Home Supportive Care 2159 Nursery Rd #314, Clearwater, FL 33764 2013-07-15
1316246267 Quality Life Coach, Inc In Home Supportive Care 2731 Via Capri, Unit 928, Clearwater, FL 33764 2011-03-17
1053619320 Pinellas Professional Home Care,inc. In Home Supportive Care 2075 Dunston Cove Rd, Clearwater, FL 33755-1316 2011-03-10
Find all providers in CLEARWATER

Competitor

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City CLEARWATER
Zip Code 33759

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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