Organization Active NPI

Adec Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Mishawaka, IN
National Provider Identifier
1871896522
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
2670B0029JN04 Issued in IN
Legal business name
ADEC INC
Practice address
217 Newburg Dr Apt D
Mishawaka, IN 46545-3660
Phone
(574) 848-7451
NPI assigned
Dec 17, 2010
Last updated
Dec 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Authorized official

Name
Paula M Shively
Title
Ceo/President
Phone
(574) 848-7451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 2670B0029JN04 IN Primary

Addresses

Primary practice location

217 Newburg Dr Apt D
Mishawaka, IN 46545-3660

Mailing address

PO Box 398
19670 Sr 120
Bristol, IN 46507-0398
Phone (574) 848-7451

National Provider Directory

National Provider Directory
Tax ID family
Adec Inc24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1871896522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 398",
            "address_2": "19670 SR 120",
            "city": "BRISTOL",
            "state": "IN",
            "postal_code": "465070398",
            "telephone_number": "574-848-7451",
            "fax_number": "574-848-5917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 NEWBURG DR APT D",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453660",
            "telephone_number": "574-848-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADEC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "SHIVELY",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "574-848-7451"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IN",
            "license": "2670B0029JN04",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; 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.