Provider Demographics
NPI:1740032655
Name:MASTERING ADAPTION & DEVELOPEMENT CORP
Entity type:Organization
Organization Name:MASTERING ADAPTION & DEVELOPEMENT CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:BS, MS
Authorized Official - Phone:317-970-0738
Mailing Address - Street 1:PO BOX 269246
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46226-9246
Mailing Address - Country:US
Mailing Address - Phone:317-970-0738
Mailing Address - Fax:
Practice Address - Street 1:4622 DAVID ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46226-2652
Practice Address - Country:US
Practice Address - Phone:317-970-0738
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
No253J00000XAgenciesFoster Care Agency
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385H00000XRespite Care FacilityRespite Care