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GLENDALE ADVANCED HEALTH, LLC
NPI 1992311104
General Practice in Indianapolis, IN

Active since September 22, 2020
6321 N. KEYSTONE AVE, STE. B, INDIANAPOLIS, IN 46220(317) 257-2225 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 23, 2021, Sep 22, 2020 (2 updates tracked since 2020).

About Glendale Advanced Health, Llc NPPES

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

GLENDALE ADVANCED HEALTH, LLC (NPI 1992311104) is a healthcare organization registered as a general practice in Indianapolis, Indiana and active in the NPI registry since September 2020. The organization lists Joseph Fortunato, Owner, as its authorized official.

NPPES Registry Identity

NPI1992311104
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameGLENDALE ADVANCED HEALTH, LLC
Location Address6321 N. KEYSTONE AVE, STE. BIndianapolis, IN 46220
Mailing Address6321 N Keystone Ave, Suite BIndianapolis, IN 46220-2156 · (317) 257-2225
Phone(317) 257-2225
Organization SubpartNo
Authorized OfficialJoseph FortunatoOwner · (317) 257-2225
Enumeration DateSeptember 22, 2020
Last NPPES UpdateSeptember 23, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2021
✔ NPI 1992311104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
6321 N. KEYSTONE AVE, Indianapolis, IN 46220
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Glendale Advanced Health, LLC's NPI number?

The NPI number for Glendale Advanced Health, LLC is 1992311104. It was assigned to this organization in the NPPES registry on September 22, 2020.

Where is Glendale Advanced Health, LLC located?

Glendale Advanced Health, LLC is located at 6321 N. Keystone Ave Ste. B, Indianapolis, IN 46220. The listed phone number is (317) 257-2225.

What is Glendale Advanced Health, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Glendale Advanced Health, LLC was last updated on September 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.