ADEC - TERRACE PARK
NPI 1598989964
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Goshen, IN

NPI Status: Active since April 13, 2007

Contact Information

62836 PLANEVILLE AVE
GOSHEN, IN
ZIP 46528
Phone: (574) 848-7451
Fax: (574) 848-5917

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About ADEC - TERRACE PARK

This page provides the complete NPI Profile along with additional information for Adec - Terrace Park, a provider established in Goshen, Indiana operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1598989964 assigned on April 2007. The practitioner's primary taxonomy code is 320600000X with license number 2670I0022JN08 (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
1598989964
Provider Name
ADEC - TERRACE PARK
Entity Type
Organization
Location Address
62836 PLANEVILLE AVE GOSHEN, IN 46528
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
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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.
2670I0022JN08
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PAULA M SHIVELY

Authorized Official Title
CEO
Authorized Official Phone
(574) 848-7451

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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.
1598989964
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2518818818912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 8 + 8 + 1 + 8 + 8 + 1 + 8 + 9 + 1 + 2 + 24 = 86
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 86 = 44

The NPI number 1598989964 is valid because the calculated check digit 4 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 1598989964, enumerated in the NPI registry as an "organization" on April 13, 2007

The provider is located at 62836 Planeville Ave Goshen, In 46528 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

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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