Sebastian Hospital LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

4375 Issued in FL

Legal business name

SEBASTIAN HOSPITAL LLC

Doing business as

Sebastian River Medical Center SNU

Practice address

13695 US Highway 1
Sebastian, FL 32958-3230

Phone

(772) 589-3186

Fax

(772) 388-3689

NPI assigned

Jan 17, 2013

Last updated

Jul 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kelly Enriquez

Title

President and C.E.O.

Phone

(772) 589-3164

Specialties & licenses 1

Addresses

Other names 1

• Sebastian River Medical Center SNU Doing business as

Locations

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1609114164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13695 US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583230",
            "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": "13695 US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583230",
            "telephone_number": "772-589-3186",
            "fax_number": "772-388-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEBASTIAN HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "ENRIQUEZ",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT AND C.E.O.",
        "authorized_official_telephone_number": "772-589-3164",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "4375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sebastian River Medical Center SNU",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sebastian Hma Physician Management LLC (North County Medical Laboratory)
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• Sebastian Hma Physician Management LLC (Sebastian Family Walk-in Care)
• Sebastian Hma Physician Management, LLC
• Sebastian Hospital LLC (Sebastian River Medical Center)
• Sebastian Id Care LLC
• Sebastian Internal Medicine Associates
• Sebastian Pathology Services
• Sebastian River Anesthesiology Associates, P. a.
• Senior Resource Association, Inc

• Skilled Nursing Facility in Sebastian, FL
• Providers in Sebastian, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.