ADEC - STEVENS AVE
NPI 1235353608
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Elkhart, IN
NPI Status: Active since April 13, 2007
Contact Information
2001 STEVENS AVE
ELKHART, IN
ZIP 46516
Phone: (574) 848-7451
Fax: (574) 848-5917
- Organization
- Residential Treatment Facility, Intellec...
- CLIA Number: 15D0886821
- CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
- CLIA Exp. Date: 05-26-2026
About ADEC - STEVENS AVE
This page provides the complete NPI Profile along with additional information for Adec - Stevens Ave, a provider established in Elkhart, Indiana operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1235353608 assigned on April 2007. The practitioner's primary taxonomy code is 320600000X with license number 2670I0015DE08 (IN). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Paula M Shively (Ceo)
- NPI
- 1235353608
- Provider Name
- ADEC - STEVENS AVE
- Entity Type
- Organization
- Location Address
- 2001 STEVENS AVE ELKHART, IN 46516
- Location Phone
- (574) 848-7451
- Location Fax
- (574) 848-5917
- Mailing Address
- 19670 SR 120 BRISTOL, IN 46507
- Mailing Phone
- (574) 848-7451
- Mailing Fax
- (574) 848-5917
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-13-2007
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320600000X
- Type
- Residential Treatment Facilities
- License No.
- 2670I0015DE08
- License State
- IN
- Taxonomy Description
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 15D0886821
- Facility Type
- Intermediate Care Facility for Mentally Retarded
- Certificate Effective Date
- May 27, 2024
- Certificate Expiration Date
- May 26, 2026
- Laboratory Director
- CHRISTOPHER J. KINGSLEY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Adec - Stevens Ave to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 3 | 5 | 3 | 5 | 3 | 6 | 0 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 6 | 5 | 6 | 6 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 6 + 5 + 6 + 6 + 0 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1235353608 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235353608, enumerated in the NPI registry as an "organization" on April 13, 2007
The provider is located at 2001 Stevens Ave Elkhart, In 46516 and the phone number is (574) 848-7451
This medical organization specializes in Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X
The provider's CLIA number is 15D0886821 for a "intermediate care facility for mentally retarded" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on April 13, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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