SUPPORTIVE SPACE HOME CARE
NPI 1184592404
Homemaker in Davenport, FL
- Organization
- Homemaker
About SUPPORTIVE SPACE HOME CARE
This page provides the complete NPI Profile along with additional information for Supportive Space Home Care, a provider established in Davenport, Florida operating as a Homemaker. The healthcare provider is registered in the NPI registry with number 1184592404 assigned on October 2025. The practitioner's primary taxonomy code is 376J00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Supportive Space Home Care operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Monique Marie Cannon N/a (Admin)
- NPI
- 1184592404 Verify this NPI
- Provider Name
- SUPPORTIVE SPACE HOME CARE
- Entity Type
- Organization
- Location Address
- 352 TANGLEWOOD DR DAVENPORT, FL 33896
- Location Phone
- (317) 473-0037
- Mailing Address
- 352 TANGLEWOOD DR DAVENPORT, FL 33896
- Mailing Phone
- (317) 473-0037
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-28-2025
- Last Update Date
- 11-18-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Homemaker
- Taxonomy Code
- 376J00000X
- Type
- Nursing Service Related Providers
- Taxonomy Description
- An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184592404, enumerated as an "organization" on October 28, 2025.
The provider is located at 352 TANGLEWOOD DR DAVENPORT, FL 33896 and the phone number is (317) 473-0037.
Homemaker with taxonomy code 376J00000X.
