MEDICARE: ADAPTIVE COMMUNITY SUPPORT SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1679382337
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADAPTIVE COMMUNITY SUPPORT SERVICES INC

Provider Business Mailing Address
First Line	:	3006 EASTPOINT PKWY
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40223-4185
Country	:	US
Telephone Number	:	502-795-0773
Fax Number	:

Provider Business Practice Location Address
First Line	:	9943 FOREST GREEN BLVD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40223-5123
Country	:	US
Telephone Number	:	502-795-0773
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR, REVENUE CYCLE MANAGEMENT
Name	:	JULIA PELKINGTON
Credential	:
Telephone Number	:	317-746-5391

Provider Enumeration Date	:	01/06/2025
Last Update Date	:	01/13/2026

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Directions to “ADAPTIVE COMMUNITY SUPPORT SERVICES INC ” Practice Location

Language	Start Address	Practice Location

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