Healthcare Provider Details

I. General information

NPI: 1578381307
Provider Name (Legal Business Name): OHSRH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2024
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13695 US HIGHWAY 1
SEBASTIAN FL
32958-3230
US

IV. Provider business mailing address

13695 US HIGHWAY 1
SEBASTIAN FL
32958-3230
US

V. Phone/Fax

Practice location:
  • Phone: 772-589-3186
  • Fax:
Mailing address:
  • Phone: 772-589-3186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: JOHN E MILLER
Title or Position: SENIOR VICE PRESIDENT OF FINANCE
Credential:
Phone: 321-843-3180