# HOMESTEAD TRAIL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376408278
- **Authorized official:** TYRA ESTAVA CNA (CEO)
- **Authorized official phone:** (262) 675-3337

## Contact information

- **Practice address:** 1342 W HOMESTEAD TRL, MEQUON, WI 53092-3213
- **Practice address phone:** (262) 270-6600
- **Mailing address:** 1342 W HOMESTEAD TRL, MEQUON, WI 53092-3213
- **Mailing address phone:** (262) 270-6600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/22/2025
- **Last updated:** 12/22/2025