Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Space Coast Assisted Living LLC

Organization Assisted Living Facility · NPI 1629343470

Space Coast Assisted Living LLC is an Assisted Living Facility in Melbourne, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3366 Peninsula Cir
Melbourne, FL 32940-1107
Phone: (321) 610-8323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 11611 (FL)

Record details

NPI number1629343470
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Johnnie Mesaros — President · (321) 693-4269
Other names Hammock Pointe Manor
NPI enumeratedMarch 13, 2012
Last updated in NPPESMarch 13, 2012
Mailing address9060 S Tropical Trl, Merritt Island, FL 32952-6803

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