ADEC - VILLAGE MEN (NPI# 1275757643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275757643 |
| Entity Type | Organization |
| Organization Name | ADEC - VILLAGE MEN |
| Practice Address |
19816 State Road 120 #3 Bristol IN 46507 |
| Mailing Address |
19670 St Rd 120 Bristol IN 46507-0398 |
| Practice Telephone | 5748485751 |
| Practice Fax Number | 5748485917 |
| Mailing Telephone | 5748487451 |
| Mailing Fax Number | 5748485917 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PAULA M SHIVELY (CEO) |
| Authorized Official Telephone | 5748487451 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2670I0004JN08 | IN | Residential Treatment Facilities |
| Street Address |
19816 STATE ROAD 120 #3 |
| City | BRISTOL |
| State | IN |
| Zip Code | 46507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295839462 | Hardings Markets-west Inc | Pharmacy | 300 East Elkhart St, Bristol, IN 46507 | 2006-09-11 |
| 1831166362 | Daniel J Berger | Family Medicine | 304 E Vistula St, Bristol, IN 46507 | 2006-03-03 |
| 1346765146 | Mackenzie Shireman | Registered Nurse | 304 E Vistula St, Bristol, IN 46507 | 2017-08-14 |
| 1801825179 | Brenda H. Spence | Psychologist | 201 S. Division St., Bristol, IN 46507-0275 | 2006-06-30 |
| 1023307014 | Adec Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19670 State Road 120, Bristol, IN 46507-0398 | 2011-03-31 |
| 1114216108 | Adec Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19670 State Road 120, Bristol, IN 46507-0398 | 2011-03-31 |
| 1982879474 | Adec Inc | Community Based Residential Treatment Facility, Mental Illness | 19670 State Road 120, Bristol, IN 46507-0398 | 2008-04-25 |
| 1780756676 | David M Brilliandt | Dentist | 220 Bloomingdale, Bristol, IN 46507-8405 | 2006-11-15 |
| 1144517780 | Angel Dailey | Licensed Practical Nurse | 13350 Vistula Dr, Bristol, IN 46507-8511 | 2011-07-04 |
| 1669471884 | Regional Home Health Care Inc | Home Health | 3367 Bridgetown Rd, Bristol, IN 46507-8765 | 2005-07-19 |
| Find all providers in zip 46507 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710101183 | Adec - Village Women | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 807 Mottville Rd, Bristol, IN 46507-9220 | 2007-04-13 |
| 1174644785 | Looking Upwards, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 107 Mulberry Rd, Bristol, RI 02809-1354 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861999450 | Pathfinder Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4438 Haney Ct, New Haven, IN 46774-1777 | 2018-04-10 |
| 1548796089 | Branches Residential Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 13096 Glenside Dr, Fishers, IN 46037-8863 | 2017-05-03 |
| 1346691177 | Miami Homecare Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1912 Miami St, South Bend, IN 46613-2915 | 2016-06-22 |
| 1033418066 | Bona Vista Programs, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3770 W 80 N, Kokomo, IN 46901-3854 | 2011-03-16 |
| 1124327150 | Bona Vista Programs, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 112 Westmoreland Dr E, Kokomo, IN 46901-5104 | 2011-03-16 |
| 1366745010 | Adec Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3302 N. Main St, Michawaka, IN 46545-3148 | 2010-12-17 |
| 1457670044 | P L Ford Homes/indiana | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 519 E 60th Ave, Merrillville, IN 46410-3068 | 2010-05-22 |
| 1043533177 | Peak Community Services Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1234 S 50 E, Winamac, IN 46996-8590 | 2010-03-03 |
| 1154644276 | Peak Community Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1141 19th St, Logansport, IN 46947-4507 | 2010-03-03 |
| 1316260441 | Peak Community Services Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1625 High St, Logansport, IN 46947-2863 | 2010-03-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.