Space Coast Center for Independent Living

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SPACE COAST CENTER FOR INDEPENDENT LIVING

Practice address

803 N Fiske Blvd
Suite B
Cocoa, FL 32922-7323

Phone

(321) 633-6011

NPI assigned

Dec 14, 2009

Organization subpart

No

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

Authorized official

Name

Jill Dunham-Cesario

Title

Executive Director

Phone

(321) 633-6011

Specialties & licenses 1

Addresses

Tax ID family

Space Coast Center for Independent Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Space Coast Center for Independent Living

  • Case Management Agency
  • Rockledge, FL
  • NPI 1528326758
  NPD tax ID

Locations

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1780913103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 N FISKE BLVD",
            "address_2": "SUITE B",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227323",
            "telephone_number": "321-633-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 N FISKE BLVD",
            "address_2": "SUITE B",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227323",
            "telephone_number": "321-633-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPACE COAST CENTER FOR INDEPENDENT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "DUNHAM-CESARIO",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "321-633-6011"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Margaret Solnosky, RPH
• Mikayla Solnosky
• Soni Family Practice, PLLC
• Burton Jay Soss
• Sam Sowell, PHARM.D.
• Space Coast Discount Diabetic Supplies, Inc.
• Space Coast Internal Medicine & Geriatric LLC
• Specialized Treatment, Education and Prevention Services, Inc.
• Carmen M Spector, PT
• Daylin Spence

• Case Management Agency in Cocoa, FL
• Providers in Cocoa, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.