MEDICARE: HESTIA HOME CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	3747P1801X	Personal Care Attendant
2	376J00000X	Homemaker
3	385H00000X	Respite Care
4	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1861358897
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HESTIA HOME CARE LLC

Provider Business Mailing Address
First Line	:	4520 ROSEMONT AVE APT 302
Second Line	:
City	:	LA CRESCENTA
State	:	CA
Zip	:	91214-3169
Country	:	US
Telephone Number	:	818-669-0248
Fax Number	:

Provider Business Practice Location Address
First Line	:	1110 NORTON AVE
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91202-2029
Country	:	US
Telephone Number	:	818-669-0248
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	RYAN CHUNG
Credential	:
Telephone Number	:	818-669-0248

Provider Enumeration Date	:	01/03/2026
Last Update Date	:	01/03/2026

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Directions to “HESTIA HOME CARE LLC ” Practice Location

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