Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Supportive Space Home Care

Organization Homemaker · NPI 1184592404

Supportive Space Home Care is a Homemaker in Davenport, Florida. Registered with an NPI since 2025.

In the registry since
2025
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

Visits clients at home This work is carried out in the client's own home, so the registered address is a private residence rather than a place you can visit. We do not publish it. Contact details come from the provider or the agency that employs them.

Davenport, FL

No coordinates on file. Search this address in Google Maps

Specialties & licences

Homemaker (primary) Taxonomy 376J00000X

Record details

NPI number1184592404
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Monique Cannon — Admin · (317) 473-0037
NPI enumeratedOctober 28, 2025
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025
Mailing address352 Tanglewood Dr, Davenport, FL 33896-3106

Other providers in Davenport