Active NPI
Estelle Place LLC
- Developmentally Disabled Services Day Training Agency
- Dumfries, VA
National Provider Identifier
1922123454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 755-02-006
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Estelle Place LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Dumfries, VA
- NPI 1023133899
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.