STEPHANI FAUERBACH (NPI# 1295188142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295188142 |
| Entity Type | Individual |
| Full Name | STEPHANI FAUERBACH |
| Practice Address |
3809 N Tampa St Tampa FL 33603-4743 |
| Practice Telephone | 8138726250 |
| Practice Fax Number | 8138726078 |
| Mailing Telephone | 8138726250 |
| Mailing Fax Number | 8138726078 |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-07-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
3809 N TAMPA ST |
| City | TAMPA |
| State | FL |
| Zip Code | 33603-4743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639278377 | Human Development Center, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3809 N Tampa St, Tampa, FL 33603-4743 | 2006-09-21 |
| 1497108344 | Ashlee Henrichs | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3809 N Tampa St, Tampa, FL 33603-4743 | 2016-07-15 |
| 1972956829 | Victoria Peters | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3809 N Tampa St, Tampa, FL 33603-4743 | 2016-07-15 |
| 1194178038 | Ronald Fahrenholz | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3809 N Tampa St, Tampa, FL 33603-4743 | 2016-07-15 |
| 1053764902 | Monique Stubbs | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3809 N Tampa St, Tampa, FL 33603-4743 | 2016-07-15 |
| 1588017438 | Ashley Tomaka | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3809 N Tampa St, Tampa, FL 33603-4743 | 2016-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400959 | Jean V. Dieudonne | Pharmacist | 701 W. Dr Martin Luther King Blvd, Tampa, FL 33603 | 2020-06-03 |
| 1538791082 | Champion Wellness Center of The Heights | Chiropractor | 800 W Martin Luther King Jr Blvd, Suite 3, Tampa, FL 33603 | 2020-02-12 |
| 1700366010 | Marie A Brister Md LLC | Family Medicine | 508 W Dr Martin Luther King Jr Blvd Ste A, Tampa, FL 33603 | 2018-08-16 |
| 1619415197 | Riverside Recovery of Tampa, LLC | Substance Abuse Rehabilitation Facility | 4004 N. Riverside Dr., Tampa, FL 33603 | 2017-02-06 |
| 1306213194 | Jacqueline Dowgiallo | Case Manager/Care Coordinator | 4004 N Riverside Dr, Tampa, FL 33603 | 2015-08-27 |
| 1629487061 | Robin Ann Waters | Social Worker | 1016 W Hillsborough Ave, Tampa, FL 33603 | 2014-08-11 |
| 1831430453 | Cassandra Gonzalez | Social Worker | 1726 W Rio Vista Ave, Tampa, FL 33603 | 2013-03-06 |
| 1487908893 | Spine Injury Physicians LLC | Neurological Surgery | 607 W Martin Luther King Blvd, Suite 1, Tampa, FL 33603 | 2012-11-07 |
| 1861742124 | Joseph Timothy Candelore Jr. | Internal Medicine | 2333 W Hillsborough Ave Ste 160, Tampa, FL 33603 | 2012-09-14 |
| 1679835599 | Odessa Biandudi | Dentist | 825 West Martin Luther King Boulevard, Tampa, FL 33603 | 2012-06-15 |
| Find all providers in zip 33603 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486844 | Aclaris Care Home, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7711 N Rome Ave, Tampa, FL 33604-4615 | 2020-08-03 |
| 1386253987 | Rosa Estela Companioni | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6704 Commodore Way, Tampa, FL 33615-5810 | 2020-07-29 |
| 1508337676 | Gerard Thomas Doris IIi | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3409 Nottingham Ct Apt 252, Tampa, FL 33614-4687 | 2018-12-16 |
| 1912378415 | Comfort Angels Home Corp | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3133 W Lambright St, Tampa, FL 33614-4616 | 2015-10-09 |
| 1598190092 | Family Residences of Tampa Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 14508 Midland Greens Pl, Tampa, FL 33625-3348 | 2013-09-04 |
| 1922315464 | Ultimate Business Management | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9216 Everwood Ct, Tampa, FL 33647-3297 | 2010-09-03 |
| 1841299237 | Pensacola Care, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 14219 Bruce B Downs Blvd, Tampa, FL 33613-3913 | 2005-07-18 |
| 1497108344 | Ashlee Henrichs | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3809 N Tampa St, Tampa, FL 33603-4743 | 2016-07-15 |
| 1972956829 | Victoria Peters | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3809 N Tampa St, Tampa, FL 33603-4743 | 2016-07-15 |
| 1194178038 | Ronald Fahrenholz | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3809 N Tampa St, Tampa, FL 33603-4743 | 2016-07-15 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.