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ESTRELLA VISTA RANCH LLC
NPI 1689834103
Residential Treatment Facility, Emotionally Disturbed Children in Dragoon, AZ

Active since June 10, 2008
4911 EAST SILK WIND BLVD, DRAGOON, AZ 85609(520) 586-9254 Get Directions Write a Review

NPPES record last updated: June 10, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Estrella Vista Ranch Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ESTRELLA VISTA RANCH LLC (NPI 1689834103) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Dragoon, Arizona and active in the NPI registry since June 2008. The organization lists Erica Tahse Palacios, President, as its authorized official.

NPPES Registry Identity

NPI1689834103
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameESTRELLA VISTA RANCH LLC
Location Address4911 EAST SILK WIND BLVDDragoon, AZ 85609
Mailing AddressPo Box 235Dragoon, AZ 85609-0235
Phone(520) 586-9254
Organization SubpartNo
Authorized OfficialErica Tahse PalaciosPresident · (602) 206-7687
Enumeration DateJune 10, 2008
✔ NPI 1689834103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in AZ · BH-3062
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
4911 EAST SILK WIND BLVD, Dragoon, AZ 85609
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Estrella Vista Ranch LLC's NPI number?

The NPI number for Estrella Vista Ranch LLC is 1689834103. It was assigned to this organization in the NPPES registry on June 10, 2008.

Where is Estrella Vista Ranch LLC located?

Estrella Vista Ranch LLC is located at 4911 East Silk Wind Blvd, Dragoon, AZ 85609. The listed phone number is (520) 586-9254.

What is Estrella Vista Ranch LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Estrella Vista Ranch LLC was last updated on June 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.