Adec - Foster Avenue in Bristol - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Adec - Foster Avenue - NPI 1164646592
Adec - Foster Avenue is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Bristol, Indiana. Adec - Foster Avenue practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Adec - Foster Avenue is 1164646592. The last update date is 2020-08-22.
Adec - Foster Avenue's current location address is 19670 St Rd 120, Bristol, Indiana. You can contact this provider via phone number 5748487451 and fax number 5748485947. The mailing address for Adec - Foster Avenue is 19670 St Rd 120, Bristol, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Adec - Foster Avenue |
|---|---|
| Address | 19670 St Rd 120, Bristol, Indiana |
| Phone Number | 5748487451 |
| Fax Number | 5748485947 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Shively M Paula |
| Telephone Number | 5748487451 |
NPI Number Detail
| NPI Number | 1164646592 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 19670 St Rd 120 |
|---|---|
| City | Bristol |
| State | Indiana (IN) |
| Post Code | 465070398 |
| Phone Number | 5748487451 |
| Fax Number | 5748485947 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | 2670B0020DE0 |
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Definition: 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. |
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Post Comment/ Review Below
What is the Adec - Foster Avenue's unique identification number?
The Adec - Foster Avenue has been assigned the NPI (National Provider Identifier) Number 1164646592 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Adec - Foster Avenue is geographically located?
The Adec - Foster Avenue is physically situated at the following location: 19670 St Rd 120, Bristol, IN, 465070398.
What is Adec - Foster Avenue's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Adec - Foster Avenue is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that categorizes this field of expertise is 320600000X.
On what date did Adec - Foster Avenue receive its 1164646592 assignment from the Centers for Medicare & Medicaid Services?
The Adec - Foster Avenue was assigned its 1164646592 on 2007-04-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Adec - Foster Avenue, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Adec - Foster Avenue, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.