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ESTELLE PLACE LLC NPI 1023133899


NPI Information

NPI: 1023133899
Provider Name: ESTELLE PLACE LLC

Doing Business As: OUR PLACE ONE

Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
17985 POSSUM POINT RD
DUMFRIES, VA
ZIP 22026
Phone: (703) 221-9929
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ESTELLE PLACE LLC is a day training developmentally disabled services in Dumfries, VA. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. ESTELLE PLACE LLC NPI is 1023133899. The provider is registered as an organization entity type.
The provider Is Doing Business As Our Place One.

The provider's business location address is:

17985 POSSUM POINT RD
DUMFRIES, VA
ZIP 22026-646
Phone: (703) 221-9929
Fax: (703) 221-9919

The provider's authorized official is Deborah C Roundtree .
The authorized official title is Ceo and has the following contact phone number (703) 221-9929.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251C00000XDay Training, Developmentally Disabled Services755-02-006VIRGINIAYes
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities755-01-001VIRGINIAX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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