Active NPI
Adec Inc
- Mental Illness Community Based Residential Treatment Facility
- Bristol, IN
National Provider Identifier
1982879474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- ADEC INC
- Practice address
- 19670 State Road 120
Bristol, IN 46507-0398 - Phone
- (574) 848-7451
- Fax
- (574) 848-5917
- NPI assigned
- Apr 25, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
19670 State Road 120
Bristol, IN 46507-0398
Mailing address
PO Box 398
Bristol, IN 46507-0398
Phone (574) 848-7451
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200714130 | Medicaid | IN |
National Provider Directory
National Provider Directory- Tax ID family
- Adec Inc
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209081600000",
"number": "1982879474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 398",
"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": "19670 STATE ROAD 120",
"city": "BRISTOL",
"state": "IN",
"postal_code": "465070398",
"telephone_number": "574-848-7451",
"fax_number": "574-848-5917"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADEC INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-25",
"last_updated": "2008-04-25",
"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": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200714130",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.