Sebastian Hospital LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SEBASTIAN HOSPITAL LLC

Practice address

8000 Ron Beatty Blvd
Suite A4
Barefoot Bay, FL 32976-7474

Phone

(772) 589-3186

Fax

(772) 388-3689

NPI assigned

Jun 5, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laurie J Holtsford

Title

Authorized Official

Phone

(615) 465-7466

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sebastian River Home Health Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1437198751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 RON BEATTY BLVD",
            "address_2": "SUITE A4",
            "city": "BAREFOOT BAY",
            "state": "FL",
            "postal_code": "329767474",
            "telephone_number": "772-589-3186",
            "fax_number": "772-388-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 RON BEATTY BLVD",
            "address_2": "SUITE A4",
            "city": "BAREFOOT BAY",
            "state": "FL",
            "postal_code": "329767474",
            "telephone_number": "772-589-3186",
            "fax_number": "772-388-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEBASTIAN HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "HOLTSFORD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-465-7466"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "JW3",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sebastian River Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Audrey Louise Gemberling, M.A.
• Indian River Health Services Inc
• Medicsolutions LLC
• Monica Robaina Melius, DNP
• Muhammad M Siddiqui MD PA
• Sebastian Hospital LLC
• Sebastian Hospital LLC
• Shaw Medical Group LLC
• Carmencita E Shaw, DNP
• Pio Sian, MD

• Home Health Agency in Barefoot Bay, FL
• Providers in Barefoot Bay, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.