MEDICARE: SAFE SPACE SUPPORTIVE LIVING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1386593853
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAFE SPACE SUPPORTIVE LIVING

Provider Business Mailing Address
First Line	:	2140 TRAPP CT
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-2162
Country	:	US
Telephone Number	:	513-383-2064
Fax Number	:

Provider Business Practice Location Address
First Line	:	2140 TRAPP CT
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-2162
Country	:	US
Telephone Number	:	513-383-2064
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CAMILLE HARRIS
Credential	:	HARRIS
Telephone Number	:	513-382-2064

Provider Enumeration Date	:	01/27/2026
Last Update Date	:	01/27/2026

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Directions to “SAFE SPACE SUPPORTIVE LIVING ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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