Organization Active NPI

Estella Health LLC

  • Home Health Agency
  • Quincy, MA
National Provider Identifier
1467235671
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ESTELLA HEALTH LLC
Practice address
115 Brook Rd
Quincy, MA 02169-6528
Phone
(508) 694-6687
NPI assigned
Aug 14, 2023
Organization subpart
Yes
Parent organization
COASTAL MEDICAL TRANSPORTATION SYSTEMS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alexandre Theoharidis
Title
Chief Executive Officer
Phone
(508) 694-6687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

115 Brook Rd
Quincy, MA 02169-6528

Mailing address

115 Brook Rd
Quincy, MA 02169-6528
Phone (508) 694-6687

National Provider Directory

National Provider Directory
Part of
Coastal Medical Transportation Services LLC

Locations

115 Brook Rd
Quincy, MA 02169
Phone (508) 694-6687

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1467235671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BROOK RD",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021696528",
            "telephone_number": "508-694-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BROOK RD",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021696528",
            "telephone_number": "508-694-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTELLA HEALTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COASTAL MEDICAL TRANSPORTATION SYSTEMS LLC",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "THEOHARIDIS",
        "authorized_official_first_name": "ALEXANDRE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "508-694-6687"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.