ADEC-BRIDLEWOOD
NPI 1043434624
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Goshen, IN

Q: What is Adec-Bridlewood's NPI number?

The NPI number for Adec-Bridlewood is 1043434624. It was assigned to this organization in the NPPES registry on April 12, 2007.

Q: What is Adec-Bridlewood's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Q: When was this NPI record last updated?

The NPPES record for Adec-Bridlewood was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 12, 2007

58808 ST MARYS LN, GOSHEN, IN 46528(574) 848-7451(574) 818-5917 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Adec-bridlewood NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADEC-BRIDLEWOOD (NPI 1043434624) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Goshen, Indiana and active in the NPI registry since April 2007. The organization lists Paula M Shively, Ceo, as its authorized official.

NPPES Registry Identity

NPI1043434624

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameADEC-BRIDLEWOOD

Location Address58808 ST MARYS LNGoshen, IN 46528-7623

Mailing Address19670 Sr 120Bristol, IN 46507-0398 · (574) 848-7451 · Fax (574) 848-5917

Phone(574) 848-7451

Fax(574) 818-5917

Organization SubpartNo

Authorized OfficialPaula M ShivelyCeo · (574) 848-7451

Enumeration DateApril 12, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1043434624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

License✔ Licensed in IN · 2670I0017JN08

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.

58808 ST MARYS LN, Goshen, IN 46528

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adec-Bridlewood's NPI number?

The NPI number for Adec-Bridlewood is 1043434624. It was assigned to this organization in the NPPES registry on April 12, 2007.

Where is Adec-Bridlewood located?

Adec-Bridlewood is located at 58808 St Marys Ln, Goshen, IN 46528. The listed phone number is (574) 848-7451.

What is Adec-Bridlewood's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Adec-Bridlewood was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.