MEDICARE: HOME STRONG 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	385H00000X	Respite Care
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1861368904
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME STRONG HOME CARE LLC

Provider Business Mailing Address
First Line	:	932 COBBLE RIDGE RD
Second Line	:
City	:	NASHVILLE
State	:	NC
Zip	:	27856-7868
Country	:	US
Telephone Number	:	252-908-0561
Fax Number	:

Provider Business Practice Location Address
First Line	:	515 WESTERN AVE # B
Second Line	:
City	:	NASHVILLE
State	:	NC
Zip	:	27856-1123
Country	:	US
Telephone Number	:	252-908-0561
Fax Number	:	252-908-0561

Authorized Official
Title or Position	:	CO-OWNER/ AGENCY DIRECTOR
Name	:	KAISHUNDA P RICHARDSON
Credential	:
Telephone Number	:	252-908-0561

Provider Enumeration Date	:	10/15/2025
Last Update Date	:	10/15/2025

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