Healthcare Provider Details

I. General information

NPI: 1770970576
Provider Name (Legal Business Name): ADAPTIVE COMMUNITY SUPPORT SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2015
Last Update Date: 01/13/2026
Certification Date: 01/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3216 BALLARD LN
NEW ALBANY IN
47150-7200
US

IV. Provider business mailing address

3006 EASTPOINT PKWY
LOUISVILLE KY
40223-4185
US

V. Phone/Fax

Practice location:
  • Phone: 812-590-2157
  • Fax: 800-990-2526
Mailing address:
  • Phone: 502-795-0773
  • Fax: 800-990-2526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JULIA PELKINGTON
Title or Position: REVENUE CYCLE MANAGEMENT DIRECTOR
Credential:
Phone: 317-746-5391