Healthcare Provider Details

I. General information

NPI: 1548199417
Provider Name (Legal Business Name): MAPLE MEMORIES HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4114 LAMSON AVE
SPRING HILL FL
34608-3744
US

IV. Provider business mailing address

4114 LAMSON AVE
SPRING HILL FL
34608-3744
US

V. Phone/Fax

Practice location:
  • Phone: 352-254-8832
  • Fax:
Mailing address:
  • Phone: 352-254-8832
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. NOIMEA COFIELD
Title or Position: COFOUNDER/ CFO
Credential: CNA
Phone: 352-254-8832