Homestead Trail LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

HOMESTEAD TRAIL LLC

Practice address

1342 W Homestead TRL
Mequon, WI 53092-3213

Phone

(262) 270-6600

NPI assigned

Dec 22, 2025

Last updated

Dec 22, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tyra Estava, CNA

Title

Ceo

Phone

(262) 675-3337

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1766361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766361600000",
    "number": "1376408278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 W HOMESTEAD TRL",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923213",
            "telephone_number": "262-270-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 W HOMESTEAD TRL",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923213",
            "telephone_number": "262-270-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD TRAIL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-22",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A",
        "authorized_official_last_name": "ESTAVA",
        "authorized_official_first_name": "TYRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "262-675-3337",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thaddeus Holgado, C.O.
• Holistic Pain Management & Wellness Center SC
• Yumiko Holley, RN
• Sarah Ann Holschuh, AU.D.
• Home Health Managers
• Jodie Honigman
• Timothy Michael Horton, DC
• Tamika T Hoskins
• Alyssa Hovey
• Sherry L Hovey

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Mequon, WI
• Providers in Mequon, WI by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.