Space Coast Assisted Living Llc

LBN: Space Coast Assisted Living Llc
Space Coast Assisted Living Llc is an health care organization with primary practice located at 1832 Country Club Dr , Titusville FL 32780-5346. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Space Coast Assisted Living Llc can be contacted via phone (321) 567-4191, or through Auguste, Marie M via phone (561) 503-3719.

Contact Information

Primary practice address
1832 Country Club Dr Titusville FL 32780-5346
Phone: (321) 567-4191
Fax: (888) 335-7714
Website:
Map and Directions
Authorized official contact:
Name: Auguste, Marie M
Phone: (561) 503-3719

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1629731591
LBN Legal business name Space Coast Assisted Living Llc
DBA Doing business as
Authorized official Auguste, Marie M
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2021
Last updated Oct 18th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629731591 NPPES
Florida Other 10800 AHCA

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