Organization · Type 2 NPI

Supportive Space Home Care

Homemaker · Davenport, FL

NPI number 1184592404 Active

Practice location

352 Tanglewood Dr
Davenport, FL 33896-3106

Specialties and licenses

TaxonomyCodeLicense
Homemaker Primary 376J00000XNone listed

Homemaker: 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.

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About NPI 1184592404

Supportive Space Home Care's National Provider Identifier is 1184592404, issued on Oct 28, 2025. The primary taxonomy on file is Homemaker (376J00000X), and the practice location is in Davenport, FL. The record was last updated on Nov 18, 2025.