MEDICARE: H.O.M.E. INDEPENDENT LIVING, 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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1609724368
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	H.O.M.E. INDEPENDENT LIVING, LLC

Provider Business Mailing Address
First Line	:	2450 16TH AVE S
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33712-2605
Country	:	US
Telephone Number	:	727-598-6310
Fax Number	:

Provider Business Practice Location Address
First Line	:	2450 16TH AVE S
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33712-2605
Country	:	US
Telephone Number	:	727-598-6310
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	VALERIA FRANCHETTE STRICKLAND-MITCHELL
Credential	:	RN
Telephone Number	:	727-470-5628

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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