Organization Active NPI

Estelle Place LLC

  • Developmentally Disabled Services Day Training Agency
  • Dumfries, VA
National Provider Identifier
1922123454
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
755-02-006 Issued in VA
Legal business name
ESTELLE PLACE LLC
Practice address
16206 Kings Valley Dr
Dumfries, VA 22025-1738
Phone
(703) 680-4428
Fax
(703) 221-9919
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Deborah C Roundtree, MA
Title
Ceo
Phone
(703) 221-9929

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 755-02-006 VA Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 755-01-001 VA

Addresses

Primary practice location

16206 Kings Valley Dr
Dumfries, VA 22025-1738

Mailing address

17964 Swans Creek LN
Dumfries, VA 22026-4526
Phone (703) 221-9929

Other names 1

  • Our Place One Other name

National Provider Directory

National Provider Directory
Tax ID family
Estelle Place LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1922123454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17964 SWANS CREEK LN",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220264526",
            "telephone_number": "703-221-9929",
            "fax_number": "703-221-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16206 KINGS VALLEY DR",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220251738",
            "telephone_number": "703-680-4428",
            "fax_number": "703-221-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTELLE PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ROUNDTREE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-221-9929",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "VA",
            "license": "755-02-006",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "755-01-001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Our Place One",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dumfries, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.