MEDICARE: STRONG HEALTHCARE SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	103T00000X	Psychologist
3	103TC0700X	Clinical Psychologist
4	207Q00000X	Family Medicine Physician
5	207R00000X	Internal Medicine Physician
6	207V00000X	Obstetrics & Gynecology Physician
7	208000000X	Pediatrics Physician
8	2084P0800X	Psychiatry Physician
9	208VP0000X	Pain Medicine Physician
10	261QM0850X	Adult Mental Health Clinic/Center
11	261QU0200X	Urgent Care Clinic/Center
12	363LF0000X	Family Nurse Practitioner
13	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
14	364SC2300X	Chronic Care Clinical Nurse Specialist
15	261QM1300X	Multi-Specialty Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4241209	OTHER	OH	BUSINESS LICENSE
2	08059870	OTHER	GA	BUSINESS LICENSE

General Provider Information

NPI Number	:	1386250975
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STRONG HEALTHCARE SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	4105 EMMAJEAN RD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43607-1073
Country	:	US
Telephone Number	:	888-882-1799
Fax Number	:	216-250-7010

Provider Business Practice Location Address
First Line	:	1001 INDIANA AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43607-4084
Country	:	US
Telephone Number	:	888-882-1799
Fax Number	:	216-250-7010

Authorized Official
Title or Position	:	CEO
Name	:	KEVIN STRONG
Credential	:
Telephone Number	:	888-882-1799

Provider Enumeration Date	:	09/18/2020
Last Update Date	:	10/23/2021

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