New Life Space Coast Adult Daycare

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

NEW LIFE SPACE COAST ADULT DAYCARE

Practice address

6755 S Washington Ave
Titusville, FL 32780-8032

Phone

(321) 269-7578

NPI assigned

Jun 15, 2021

Organization subpart

Yes

Parent organization

NEW LIFE CHRISTIAN FELLOWSHIPAs reported in NPPES

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

Authorized official

Name

Mrs. Cindy-Lou Blach, RN

Title

Center Director

Phone

(321) 269-7578

Specialties & licenses 1

Addresses

Part of

New Life Space Coast Adult Daycare

Locations

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1528636792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6755 S WASHINGTON AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327808032",
            "telephone_number": "321-269-7578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6755 S WASHINGTON AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327808032",
            "telephone_number": "321-269-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE SPACE COAST ADULT DAYCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW LIFE CHRISTIAN FELLOWSHIP",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "BLACH",
        "authorized_official_first_name": "CINDY-LOU",
        "authorized_official_title_or_position": "CENTER DIRECTOR",
        "authorized_official_telephone_number": "321-269-7578",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Neff, APRN, MSN, FNP-BC
• Nemours Children'S Health, Titusville, Specialty Care
• Neurobloom Therapy LLC
• Neurospect of Florida
• New Creation Counseling LLC
• Jade Newberry, SLPA
• Leanna Nguyen
• James T Nichols, MD
• North Brevard Charities Sharing Center, Inc.
• North Brevard Children'S Medical Center

• Respite Care in Titusville, FL
• Providers in Titusville, FL by specialty
• Respite Care in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.