ADEC - FOSTER AVENUE – NPI #1164646592
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

ADEC - FOSTER AVENUE is a residential treatment facility located in ELKHART, IN. NPPES has assigned the NPI number 1164646592 to ADEC - FOSTER AVENUE on April 13, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADEC - FOSTER AVENUE below.

NPI Profile for
ADEC - FOSTER AVENUE

NPI Number
1164646592
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADEC - FOSTER AVENUE
Primary location
226 FOSTER AVE
ELKHART, IN 46516
Phone: (574) 848-7451 Fax: (574) 848-5917
Mailing address
19670 ST RD 120
BRISTOL, IN 46507-0398
Phone: (574) 848-7451 Fax: (574) 848-5947
Organization Subpart
No
Authorized Official
PAULA SHIVELY
CEO
Phone: (574) 848-7451
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
IN 2670B0020DE08

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.