DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SUNCREST HOME HEALTH OF TAMPA, LLC

MEDICARE: SUNCREST HOME HEALTH OF TAMPA, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency
23747A0650XAttendant Care Provider

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992007561
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNCREST HOME HEALTH OF TAMPA, LLC
Provider Business Mailing Address
First Line : PO BOX 51266
Second Line :
City : LAFAYETTE
State : LA
Zip : 70505-1266
Country : US
Telephone Number : 337-233-1307
Fax Number : 337-443-4154
Provider Business Practice Location Address
First Line : 1413 TECH BLVD STE 122
Second Line :
City : TAMPA
State : FL
Zip : 33619-7822
Country : US
Telephone Number : 813-288-8001
Fax Number : 813-288-9501
Authorized Official
Title or Position : PRESIDENT
Name : JOSHUA L. PROFFITT
Credential :
Telephone Number : 337-233-1307
Provider Enumeration Date : 12/02/2010
Last Update Date : 09/08/2025

Similar Medicare Providers

1760345649 — MIRIAM ESTHER PALAU CORONA
Practice Location Address:
1413 TECH BLVD STE 122
TAMPA, FL
33619-7822
Practice Phone: 185-583-2672
Practice Fax:
1366631061 — MEDERI CARETENDERS VS OF TAMPA, LLC
Practice Location Address:
1413 TECH BLVD STE 125
TAMPA, FL
33619-7822
Practice Phone: 813-282-8520
Practice Fax: 813-282-8530
1669795829 — JENNIFER L DEIEN M.S., BCBA
Practice Location Address:
1413 TECH BLVD STE 122
TAMPA, FL
33619-7822
Practice Phone: 855-832-6727
Practice Fax:
1366757817 — ERRITY GREEN
Practice Location Address:
1413 TECH BLVD STE 122
TAMPA, FL
33619-7822
Practice Phone: 941-264-8135
Practice Fax:
1255772125 — MISS BLAIR NICHOLE ORTMAN BCBA
Practice Location Address:
1413 TECH BLVD STE 122
TAMPA, FL
33619-7822
Practice Phone: 855-832-6727
Practice Fax:
1114342052 — MAURA MATSEN
Practice Location Address:
1413 TECH BLVD STE 122
TAMPA, FL
33619-7822
Practice Phone: 855-832-6727
Practice Fax: 772-675-9100

Directions to “SUNCREST HOME HEALTH OF TAMPA, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.