OrganizationActive
Supportive Space Home Care
NPI 1184592404 · Homemaker · Davenport, FL
Supportive Space Home Care is a Homemaker organization in Davenport, FL (NPI 1184592404).
Provider details
- NPI number
- 1184592404
- Entity type
- Organization
- Primary specialty
- HomemakerNursing Service Related Providers
- Organization subpart
- No
- Authorized official
- Monique Cannon, Admin(317) 473-0037
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
352 Tanglewood Dr
Davenport, FL 33896-3106
Phone: (317) 473-0037
Street-level locationGet directions
Mailing address
352 Tanglewood Dr
Davenport, FL 33896-3106
Registry dates
- Enumerated
- 2025-10-28
- Last updated
- 2025-11-18
- Certified
- 2025-11-18
Frequently asked questions
- What is Supportive Space Home Care's NPI number?
- Supportive Space Home Care's National Provider Identifier (NPI) is 1184592404, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Supportive Space Home Care?
- Supportive Space Home Care is classified in the NPPES registry as Homemaker (Nursing Service Related Providers).
- Where is Supportive Space Home Care located?
- Supportive Space Home Care's practice location on file with NPPES is 352 Tanglewood Dr, Davenport, FL 33896-3106.
- What is Supportive Space Home Care's phone number?
- The practice phone number listed in the NPPES registry for Supportive Space Home Care is (317) 473-0037.
- Who is the authorized official for Supportive Space Home Care?
- The authorized official listed on Supportive Space Home Care's NPPES record is Monique Cannon, Admin. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Supportive Space Home Care's NPI active?
- Yes — Supportive Space Home Care's NPI (1184592404) is active in the NPPES registry as of the last update on 2025-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.