Organization Active NPI

Legacy Cove II Assisted Living LLC

  • Assisted Living Facility
  • Melbourne, FL
National Provider Identifier
1184520306
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LEGACY COVE II ASSISTED LIVING LLC
Practice address
3831 Funston Cir
Melbourne, FL 32940-8583
Phone
(321) 978-5316
Fax
(321) 446-7736
NPI assigned
Oct 15, 2026
Last updated
Oct 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Shelia Mobley
Title
Administrator
Phone
(321) 243-0995

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X NU
Assisted Living Facility 310400000X NU Primary
Assisted Living Facility (Mental Illness) 3104A0625X NU

Addresses

Primary practice location

3831 Funston Cir
Melbourne, FL 32940-8583

Mailing address

3831 Funston Cir
Melbourne, FL 32940-8583
Phone (321) 978-5316

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1792022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792022400000",
    "number": "1184520306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 FUNSTON CIR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408583",
            "telephone_number": "321-978-5316",
            "fax_number": "321-446-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 FUNSTON CIR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408583",
            "telephone_number": "321-978-5316",
            "fax_number": "321-446-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY COVE II ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-15",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A",
        "authorized_official_last_name": "MOBLEY",
        "authorized_official_first_name": "SHELIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "321-243-0995",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.