Organization Active NPI

Adec Inc - Ashley Court

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Goshen, IN
National Provider Identifier
1962629055
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
2670T0016DE08 Issued in IN
Legal business name
ADEC INC - ASHLEY COURT
Practice address
1823 Ashley CT
Goshen, IN 46526-1664
Phone
(574) 848-7451
Fax
(574) 848-5917
NPI assigned
Apr 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 2670T0016DE08 IN Primary

Addresses

Primary practice location

1823 Ashley CT
Goshen, IN 46526-1664

Mailing address

19670 State Road 120
Bristol, IN 46507-9131
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": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962629055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19670 STATE ROAD 120",
            "city": "BRISTOL",
            "state": "IN",
            "postal_code": "465079131",
            "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": "1823 ASHLEY CT",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465261664",
            "telephone_number": "574-848-7451",
            "fax_number": "574-848-5917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADEC INC - ASHLEY COURT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIVELY",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "574-848-7451"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IN",
            "license": "2670T0016DE08",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

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