Healthcare Provider Details

I. General information

NPI: 1619325016
Provider Name (Legal Business Name): HESTIA IN-HOME SUPPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2016
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 1209
WARM SPRINGS OR
97761-1209
US

IV. Provider business mailing address

PO BOX 1209
WARM SPRINGS OR
97761-1209
US

V. Phone/Fax

Practice location:
  • Phone: 541-553-2130
  • Fax: 541-553-2135
Mailing address:
  • Phone: 541-553-2130
  • Fax: 541-553-2135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: NATASHA DEBIASO
Title or Position: BUSINESS MANAGER
Credential:
Phone: 541-553-2130