ADEC - GOSHEN MEN – NPI #1871717223
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 - GOSHEN MEN is a residential treatment facility located in GOSHEN, IN. NPPES has assigned the NPI number 1871717223 to ADEC - GOSHEN MEN 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 - GOSHEN MEN below.

NPI Profile for
ADEC - GOSHEN MEN

NPI Number
1871717223
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 - GOSHEN MEN
Primary location
1717 LONGWOOD CT
GOSHEN, IN 46526-1469
Phone: (574) 848-7451 Fax: (574) 848-5917
Mailing address
19670 SR 120
BRISTOL, IN 46507-0398
Phone: (574) 848-7451 Fax: (574) 848-5917
Organization Subpart
No
Authorized Official
PAULA SHIVELY
CEO
Phone: (574) 848-5751
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 2670I0011DE08

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.