Homestead Trail LLC

NPI #1376408278 in Mequon, Wisconsin

Provider Information

NPI Number: 1376408278
Entity Type: Organization
Organization Name: Homestead Trail LLC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Dec 22, 2025
Last Updated: Dec 22, 2025

Practice Location

Address: 1342 W HOMESTEAD TRL
City: Mequon
State: Wisconsin
ZIP Code: 53092-3213
Phone: (262) 270-6600

Authorized Official

Name: TYRA ESTAVA, CNA
Title: CEO
Phone: (262) 675-3337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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