SPACE COAST CENTER FOR INDEPENDENT LIVING (NPI# 1780913103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780913103 |
| Entity Type | Organization |
| Organization Name | SPACE COAST CENTER FOR INDEPENDENT LIVING |
| Practice Address |
803 N Fiske Blvd Suite B Cocoa FL 32922-7323 |
| Practice Telephone | 3216336011 |
| Mailing Telephone | 3216336011 |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2009-12-14 |
| Authorized Official Name | JILL DUNHAM-CESARIO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3216336011 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528326758 | Space Coast Center for Independent Living | Case Management | 571 Haverty Ct Ste W, Rockledge, FL 32955-3614 | 2012-04-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SPACE COAST CENTER FOR INDEPENDENT LIVING, INC. | 571 Haverty Ct Ste W, Rockledge, FL 32955-3614 |
| Street Address |
803 N FISKE BLVD SUITE B |
| City | COCOA |
| State | FL |
| Zip Code | 32922-7323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275830804 | Specialized Treatment, Education and Prevention Services, Inc. | Clinic/Center | 803 N Fiske Blvd, Cocoa, FL 32922-7309 | 2011-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396260030 | Shacarra Danielle Pouncey | Behavioral Analyst | 453 King Street, Cocoa, FL 32922 | 2017-08-03 |
| 1851815849 | El-shaddai & Sons Maintenance LLC | Non-emergency Medical Transport (VAN) | 209 Factory St, Cocoa, FL 32922 | 2017-08-01 |
| 1891241949 | Stephanie B Duncan Kidwell | Developmental Therapist | 453 Cocoa St., Cocoa, FL 32922 | 2016-08-29 |
| 1861859746 | Ruth Ellis | Counselor | 7 N. Cocoa Blvd., Cocoa, FL 32922 | 2016-01-22 |
| 1528334109 | Cynthia Vicky Doyle | Counselor | 1407 Dixon Blvd., Cocoa, FL 32922 | 2012-03-28 |
| 1205156106 | Rhea Lucette Gibbs | Social Worker | 317 Riveredge B Lvd., Suite 104, Cocoa, FL 32922 | 2010-06-03 |
| 1871816439 | Suzanne P. Jasper-demarco | Behavioral Analyst | 550 Saint Johns St, Cocoa, FL 32922 | 2010-03-10 |
| 1023223294 | Loraine Catalano Schuh | Social Worker | 317 Riveredge Blvd, Suite 104, Cocoa, FL 32922 | 2007-05-11 |
| 1679795546 | Amber Elizabeth Bell | Counselor | Kidspeace, 633-b Brevard Avenue, Cocoa, FL 32922 | 2007-05-02 |
| 1154549343 | Venkata Naga Laxmi Cheedhella | Pharmacist | 1451 Dixon Blvd, Cocoa, FL 32922 | 2007-04-23 |
| Find all providers in zip 32922 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740843788 | Aaliyah Payne | Case Management | 3848 Catalina Dr, Cocoa, FL 32926-4011 | 2019-04-16 |
| 1013486653 | Cheryl Lynn Walls | Case Management | 7135 Briggs Ave, Cocoa, FL 32927-8016 | 2018-11-13 |
| 1811496532 | Rebecca Mercedez Williams | Case Management | 5663 Ada St, Cocoa, FL 32927-2280 | 2018-02-08 |
| 1578934758 | Rocio Garcia-acevedo | Case Management | 1052 Alamanda Ln, Cocoa, FL 32922-6704 | 2015-10-13 |
| 1922491836 | My Community Cares, Inc. | Case Management | 1555 N Cocoa Blvd, Cocoa, FL 32922-6933 | 2015-03-17 |
| 1407100027 | Crosswinds Youth Services | Case Management | 1407 Dixon Blvd, Cocoa, FL 32922 | 2012-11-05 |
| 1144464637 | Linda Martin,ph.d., P.a. | Case Management | 317 Riveredge Blvd, Ste. 104, Cocoa, FL 32922-7988 | 2009-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336113 | Health Sunshine Wellness Corp | Case Management | 3525 Nw 7th St Ste 1a, Miami, FL 33125-4015 | 2020-11-06 |
| 1821699216 | Eligibolt LLC | Case Management | 1457 E Bexley Park Dr, Delray Beach, FL 33445-3543 | 2020-11-03 |
| 1457951030 | Best Behavioral Health Case Management Services | Case Management | 753 Ne 79th St Unit Cu-2, Miami, FL 33138-4711 | 2020-10-31 |
| 1316547169 | Miguel F Perez Mba & Associates LLC | Case Management | 4995 Nw 72nd Ave Ste 400, Miami, FL 33166-5643 | 2020-10-30 |
| 1518567551 | Sandra Ivette Rivera Sr. | Case Management | 7315 Kaha St Unit 344, Orlando, FL 32822-5684 | 2020-10-28 |
| 1831799030 | Sunset Case Management Service Corp | Case Management | 4238 Hollywood Blvd Ste 202, Hollywood, FL 33021-6600 | 2020-10-27 |
| 1306446612 | Sunrise Medical Wellness LLC | Case Management | 1761 W Hillsboro Blvd Ste 403, Deerfield Beach, FL 33442-1563 | 2020-10-27 |
| 1346849585 | Yasel Carballo Camero | Case Management | 5590 W 20th Ave Ste 400, Hialeah, FL 33016-7062 | 2020-10-20 |
| 1396344628 | Julio Cuellar | Case Management | 12905 Sw 42nd St Ste 209, Miami, FL 33175-2912 | 2020-10-19 |
| 1437757911 | Aristides Marcial Gomez | Case Management | 10135 Nw 127th St, Hialeah Gardens, FL 33018-7438 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.