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SPACE COAST ASSISTED LIVING LLC
NPI 1629731591
Assisted Living Facility in Titusville, FL

Active since October 18, 2021
1832 COUNTRY CLUB DR, TITUSVILLE, FL 32780(321) 567-4191(888) 335-7714 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Space Coast Assisted Living Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPACE COAST ASSISTED LIVING LLC (NPI 1629731591) is a healthcare organization registered as an assisted living facility in Titusville, Florida and active in the NPI registry since October 2021. The organization lists Marie M Auguste, Owner, as its authorized official.

NPPES Registry Identity

NPI1629731591
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSPACE COAST ASSISTED LIVING LLC
Location Address1832 COUNTRY CLUB DRTitusville, FL 32780-5346
Mailing Address1832 Country Club DrTitusville, FL 32780-5346 · (321) 567-4191 · Fax (888) 335-7714
Phone(321) 567-4191
Fax(888) 335-7714
Organization SubpartNo
Authorized OfficialMarie M AugusteOwner · (561) 503-3719
Enumeration DateOctober 18, 2021
NPPES CertifiedOctober 18, 2021
✔ NPI 1629731591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1832 COUNTRY CLUB DR, Titusville, FL 32780
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Other Identifiers 1

Other10800FL · Ahca

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RMD SENIOR CARE LLC
Assisted Living Facility
1832 COUNTRY CLUB DR
TITUSVILLE, FL 32780
Brevard County (321) 383-3531
MS. JEANETTE MARIA GABAY
Assisted Living Facility
1832 COUNTRY CLUB DR
TITUSVILLE, FL 32780
Brevard County (407) 709-8606

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Space Coast Assisted Living LLC's NPI number?

The NPI number for Space Coast Assisted Living LLC is 1629731591. It was assigned to this organization in the NPPES registry on October 18, 2021.

Where is Space Coast Assisted Living LLC located?

Space Coast Assisted Living LLC is located at 1832 Country Club Dr, Titusville, FL 32780. The listed phone number is (321) 567-4191.

What is Space Coast Assisted Living LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Space Coast Assisted Living LLC was last updated on October 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.