Organization Active NPI

Quality Living Solutions LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Indianapolis, IN
National Provider Identifier
1629191713
Registry record updated May 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
200529410A Issued in IN
Legal business name
QUALITY LIVING SOLUTIONS LLC
Practice address
910 N Shadeland Ave
Suite 2
Indianapolis, IN 46219-4810
Phone
(317) 353-9100
Fax
(317) 353-1925
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Christine Jones
Title
Director of Administration Owner
Phone
(317) 353-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 200529410A IN Primary

Addresses

Primary practice location

910 N Shadeland Ave
Suite 2
Indianapolis, IN 46219-4810

Mailing address

PO Box 19125
Indianapolis, IN 46219-0125
Phone (317) 353-9100

Other identifiers 1

IdentifierTypeStateIssuer
200529410AMedicaidIN

National Provider Directory

National Provider Directory

Locations

910 N Shadeland Ave
Ste 2
Indianapolis, IN 46219
Phone (317) 353-9100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273881600000",
    "number": "1629191713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19125",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462190125",
            "telephone_number": "317-353-9100",
            "fax_number": "317-353-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N SHADELAND AVE",
            "address_2": "SUITE 2",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194810",
            "telephone_number": "317-353-9100",
            "fax_number": "317-353-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY LIVING SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2010-05-15",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION OWNER",
        "authorized_official_telephone_number": "317-353-9100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IN",
            "license": "200529410A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200529410A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.