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 1629731591

Space Coast Assisted Living LLC is an Assisted Living Facility in Titusville, Florida. Registered with an NPI since 2021.

In the registry since
2021
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

1832 Country Club Dr
Titusville, FL 32780-5346
Phone: (321) 567-4191
Fax: (888) 335-7714
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1629731591
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marie Auguste — Owner · (561) 503-3719
NPI enumeratedOctober 18, 2021
Last updated in NPPESOctober 18, 2021
Certification dateOctober 18, 2021
Mailing address1832 Country Club Dr, Titusville, FL 32780-5346

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