Suncrest Omni

LBN: Home Health Agency - Brevard, Llc
Suncrest Omni is an health care organization with primary practice located at 780 S Apollo Blvd Suite 106, Melbourne FL 32901-1402. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Home Health Agency - Brevard, Llc can be contacted via phone (321) 752-9292, or through Mcfaddin, Amanda via phone (615) 712-2250.

Contact Information

Primary practice address
780 S Apollo Blvd Suite 106 Melbourne FL 32901-1402
Phone: (321) 752-9292
Fax: (321) 752-9284
Website:
Map and Directions
Authorized official contact:
Name: Mcfaddin, Amanda
Phone: (615) 712-2250

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 299991913 Florida

Profile Details

NPI number 1831183680
LBN Legal business name Home Health Agency - Brevard, Llc
DBA Doing business as Suncrest Omni
Authorized official Mcfaddin, Amanda
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2005
Last updated Jun 29th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831183680 NPPES
Florida MEDICAID 004233700

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