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HUMBLE VICTORY SERVICES LLC NPI 1528539053


NPI Information

NPI: 1528539053
Provider Name: HUMBLE VICTORY SERVICES, LLC
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
11534 ASHTON FIELD AVE
RIVERVIEW, FL
ZIP 33579
Phone: (772) 261-4591
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HUMBLE VICTORY SERVICES, LLC is a developmental disabilities clinic center in Riverview, FL. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). HUMBLE VICTORY SERVICES, LLC NPI is 1528539053. The provider is registered as an organization entity type.

The provider's business location address is:

11534 ASHTON FIELD AVE
RIVERVIEW, FL
ZIP 33579-374
Phone: (772) 261-4591
Fax: (813) 513-4390

The provider's authorized official is Sean Maurice Hendley .
The authorized official title is Owner and has the following contact phone number (813) 493-1516.

The enumeration date for this NPI number is 12/10/2018 and was last updated on 12/12/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1343900000XNon-emergency Medical Transport (VAN)No
2347C00000XPrivate VehicleNo
3347E00000XTransportation BrokerNo
4385H00000XRespite CareNo
5385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesNo
6251300000XLocal Education Agency (LEA)No
7251C00000XDay Training, Developmentally Disabled ServicesNo
8251F00000XHome InfusionNo
9251S00000XCommunity/Behavioral HealthNo
10251X00000XSupports BrokerageNo
11253Z00000XIn Home Supportive CareNo
12261QD1600XClinic/CenterDevelopmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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