Active NPI
Quality Living Solutions LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Indianapolis, IN
National Provider Identifier
1629191713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- 200529410A
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200529410A | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
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": []
}
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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.