Ronald Fahrenholz

Primary specialty

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

Practice address

3809 N Tampa St
Tampa, FL 33603-4743

Phone

(813) 872-6250

NPI assigned

Jul 15, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Human Development Center, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Tampa, FL
  • NPI 1639278377

  Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD (past)

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1194178038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 N TAMPA ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336034743",
            "telephone_number": "813-872-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 N TAMPA ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336034743",
            "telephone_number": "813-872-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHRENHOLZ",
        "first_name": "RONALD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valeria Fagundo
• Yesenia Fagundo
• Allyson Fahey
• Fady W Fahim
• Joseph Fahmy, MD
• Mary Elizabeth Fahsel
• Renee R. Faiks
• Aaron Fail
• Carl Failla, RPH
• Henria M Fain, M.D., DPT, ATC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Tampa, FL
• Providers in Tampa, FL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.