MEDICARE: ESTELLA HEALTH 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1467235671
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESTELLA HEALTH LLC

Provider Business Mailing Address
First Line	:	115 BROOK RD
Second Line	:
City	:	QUINCY
State	:	MA
Zip	:	02169-6528
Country	:	US
Telephone Number	:	508-694-6687
Fax Number	:

Provider Business Practice Location Address
First Line	:	115 BROOK RD
Second Line	:
City	:	QUINCY
State	:	MA
Zip	:	02169-6528
Country	:	US
Telephone Number	:	508-694-6687
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	ALEXANDRE THEOHARIDIS
Credential	:
Telephone Number	:	508-694-6687

Provider Enumeration Date	:	08/14/2023
Last Update Date	:	08/14/2023

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Directions to “ESTELLA HEALTH LLC ” Practice Location

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