Provider Demographics
NPI:1235475336
Name:HESTIA CARE SERVICES, LLC
Entity Type:Organization
Organization Name:HESTIA CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BALU
Authorized Official - Middle Name:
Authorized Official - Last Name:RUDRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-910-2205
Mailing Address - Street 1:26 SAINT PAUL ST
Mailing Address - Street 2:#8
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-6573
Mailing Address - Country:US
Mailing Address - Phone:617-910-2205
Mailing Address - Fax:800-650-9383
Practice Address - Street 1:275 GROVE ST
Practice Address - Street 2:SUITE 2-400
Practice Address - City:AUBURNDALE
Practice Address - State:MA
Practice Address - Zip Code:02466-2272
Practice Address - Country:US
Practice Address - Phone:617-910-2200
Practice Address - Fax:800-650-9383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-17
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8282251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health