MEDICARE: ADAPTIVE COMMUNITY SUPPORT SERVICES INC

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy
1	106E00000X	Assistant Behavior Analyst
2	103K00000X	Behavior Analyst
3	251S00000X	Community/Behavioral Health Agency
4	106S00000X	Behavior Technician
5	251C00000X	Developmentally Disabled Services Day Training Agency

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1770970576
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	:	800-990-2526

Provider Business Practice Location Address
First Line	:	3216 BALLARD LN
Second Line	:
City	:	NEW ALBANY
State	:	IN
Zip	:	47150-7200
Country	:	US
Telephone Number	:	812-590-2157
Fax Number	:	800-990-2526

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

Provider Enumeration Date	:	04/20/2015
Last Update Date	:	01/13/2026

10 UNION SQ E , BETH ISRAEL MED CTR- DEPT OF REHAB MEDICARE
NEW YORK, NY
10003-3314

Practice Phone: 212-420-2757
Practice Fax: