Organization Active NPI

Quinton Residential Living

  • Developmentally Disabled Services Day Training Agency
  • Indianapolis, IN
National Provider Identifier
1720142953
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
QUINTON RESIDENTIAL LIVING
Practice address
2511 E 46TH St
Suite J-3
Indianapolis, IN 46205-2460
Phone
(317) 591-0625
Fax
(317) 591-0628
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Miah Yamobi
Title
Vice President
Phone
(317) 591-0625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X IN Primary

Addresses

Primary practice location

2511 E 46TH St
Suite J-3
Indianapolis, IN 46205-2460

Mailing address

2511 E 46TH St
Suite J-3
Indianapolis, IN 46205-2460
Phone (317) 591-0625

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720142953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 E 46TH ST",
            "address_2": "SUITE J-3",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462052460",
            "telephone_number": "317-591-0625",
            "fax_number": "317-591-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 E 46TH ST",
            "address_2": "SUITE J-3",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462052460",
            "telephone_number": "317-591-0625",
            "fax_number": "317-591-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINTON RESIDENTIAL LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YAMOBI",
        "authorized_official_first_name": "MIAH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "317-591-0625",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.