QUALIFIED HEALTHCARE LLC
NPI 1700489390
Family Medicine in Indianapolis, IN

Active since November 17, 2020
5555 N TACOMA AVE STE 104, INDIANAPOLIS, IN 46220(317) 426-2210(317) 779-2560 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Qualified Healthcare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

QUALIFIED HEALTHCARE LLC (NPI 1700489390) is a healthcare organization registered as a family medicine in Indianapolis, Indiana and active in the NPI registry since November 2020. The organization lists Deborah Mcglasson, President, as its authorized official.

NPPES Registry Identity

NPI1700489390
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameQUALIFIED HEALTHCARE LLC
Location Address5555 N TACOMA AVE STE 104Indianapolis, IN 46220-3551
Mailing Address5555 N Tacoma Ave Ste 104Indianapolis, IN 46220-3551 · (317) 426-2210 · Fax (317) 779-2560
Fax(317) 779-2560
Organization SubpartNo
Authorized OfficialDeborah McglassonPresident · (317) 426-2210
Enumeration DateNovember 17, 2020
NPPES CertifiedNovember 17, 2020
NPI 1700489390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5555 N TACOMA AVE STE 104, Indianapolis, IN 46220

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2254091

Qualified Healthcare, LLC · Indianapolis, IN
Expired · Feb 27, 2026
CLIA Number15D2254091
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 29, 2024
Certificate Expiration DateFebruary 27, 2026
Laboratory DirectorDeborah A. Mcglasson
Laboratory Phone(317) 426-2210
Laboratory LocationQualified Healthcare, LLC5555 N Tacoma Ave Suite 104, Indianapolis, IN 46220
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
5555 N TACOMA AVE STE 104
INDIANAPOLIS, IN 46220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Qualified Healthcare LLC's NPI number?

The NPI number for Qualified Healthcare LLC is 1700489390. It was assigned to this organization in the NPPES registry on November 17, 2020.

Where is Qualified Healthcare LLC located?

Qualified Healthcare LLC is located at 5555 N Tacoma Ave Ste 104, Indianapolis, IN 46220. The listed phone number is (317) 426-2210.

What is Qualified Healthcare LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Qualified Healthcare LLC was last updated on November 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.