Organization Active NPI

Adec Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Bristol, IN
National Provider Identifier
1982879474
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
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

Updated by the provider on Apr 25, 2008

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
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

IdentifierTypeStateIssuer
200714130MedicaidIN

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": "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.

Verify at the official NPI Registry.