MEDICARE: HOMESTEAD HOME HEALTH INC

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1558017566
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOMESTEAD HOME HEALTH INC

Provider Business Mailing Address
First Line	:	1122 E GREEN ST STE 212
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91106-2500
Country	:	US
Telephone Number	:	626-737-3707
Fax Number	:	626-737-3557

Provider Business Practice Location Address
First Line	:	1122 E GREEN ST STE 212
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91106-2500
Country	:	US
Telephone Number	:	626-737-3707
Fax Number	:	626-737-3557

Authorized Official
Title or Position	:	CEO, CFO
Name	:	IRINA FEODOROVNA BURLATSKAYA
Credential	:
Telephone Number	:	626-737-3707

Provider Enumeration Date	:	02/28/2022
Last Update Date	:	02/04/2026

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