Holden Ridge Community Living S Corp

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

HOLDEN RIDGE COMMUNITY LIVING S CORP

Practice address

1244 Tyler Lake Cir
Orlando, FL 32839-1995

Phone

(954) 552-4366

Fax

(877) 518-7525

NPI assigned

Sep 9, 2026

Last updated

Sep 9, 2026By 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

Dr. Tesfamariam G Bahta, PHARMD

Title

President

Phone

(954) 552-4366

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1790695062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 TYLER LAKE CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328391995",
            "telephone_number": "954-552-4366",
            "fax_number": "877-518-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 TYLER LAKE CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328391995",
            "telephone_number": "954-552-4366",
            "fax_number": "877-518-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLDEN RIDGE COMMUNITY LIVING S CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "BAHTA",
        "authorized_official_first_name": "TESFAMARIAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-552-4366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Harrison Hokeah
• Darryl E Holcomb, RPH
• Hold My Hand Care, LLC
• Molly Elizabeth Holdaway, APRN
• Holden Dental Associates, Inc.
• Tasha Shenelle Holden
• Ethel Holder, PA
• Mari Shelly Holderby, O.D.
• Michele Holding
• Holiday CVS LLC (CVS Pharmacy #16913)

• Developmentally Disabled Services Day Training Agency in Orlando, FL
• Providers in Orlando, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.