Human Development Center, Inc.

Primary specialty

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

Legal business name

HUMAN DEVELOPMENT CENTER, INC.

Practice address

3809 N Tampa St
Tampa, FL 33603-4743

Phone

(813) 876-6250

Fax

(813) 872-6078

NPI assigned

Sep 21, 2006

Last updated

Oct 22, 2020By 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

Kimberly Church, PSY.D., BCBA-D

Title

Executive Director

Phone

(813) 872-6250

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald Fahrenholz

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Tampa, FL
  • NPI 1194178038

  Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD (past)
• Stephani Fauerbach

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Tampa, FL
  • NPI 1295188142

  Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD (past)
• Ashlee Henrichs

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Tampa, FL
  • NPI 1497108344

  Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD (past)
• Ashley Marie Tomaka McCray

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Tampa, FL
  • NPI 1588017438

  Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD (past)
• Victoria Peters

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Tampa, FL
  • NPI 1972956829

  Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD (past)
• Monique Stubbs, BCBA, LBA

  • Behavior Analyst
  • Manassas, VA
  • NPI 1053764902

  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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1639278377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5904 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031024",
            "telephone_number": "813-872-6250",
            "fax_number": "813-872-6078"
        },
        {
            "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": "813-876-6250",
            "fax_number": "813-872-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMAN DEVELOPMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "813-872-6250",
        "authorized_official_credential": "PSY.D., BCBA-D"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024111396",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FSL WAIVER",
            "identifier": "024111398",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NA",
            "affiliation": "N",
            "endpointDescription": "NA",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Tampa",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NA",
            "address_1": "3809 N Tampa St",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336034743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shannon Hull
• Travis James Hull, DPT
• Katharine Coffin Hulse, M.ED., ITDS
• Ronald S Hulse III, M.D.
• Rhonda Hulzebos
• Humana Medical Plan Inc
• Humana Medical Plan Inc
• Humana Medical Plan Inc
• Humana Medical Plan Inc
• Humana Medical Plan Inc

• 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 Oct 22, 2020; 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.