MEDICARE: STARS AND STRIPES HOME CARE, LLC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1073469441
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STARS AND STRIPES HOME CARE, LLC

Provider Business Mailing Address
First Line	:	121 WYNFIELD BLVD
Second Line	:
City	:	MOUNT JULIET
State	:	TN
Zip	:	37122-1561
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	121 WYNFIELD BLVD
Second Line	:
City	:	MOUNT JULIET
State	:	TN
Zip	:	37122-1561
Country	:	US
Telephone Number	:	570-921-1161
Fax Number	:

Authorized Official
Title or Position	:	OWNER/VICE PRESIDENT
Name	:	YADUPATI DHUNGEL
Credential	:
Telephone Number	:	570-921-1161

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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Directions to “STARS AND STRIPES HOME CARE, LLC ” Practice Location

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