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NPI Code Detail

MEDICARE: NEW HOPE OF INDIANA, INC.

MEDICARE: NEW HOPE OF INDIANA, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310500000XMental Illness Intermediate Care Facility2538M0010JN04IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104871482
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW HOPE OF INDIANA, INC.
Provider Business Mailing Address
First Line : 8450 N PAYNE RD
Second Line : SUITE 300
City : INDIANAPOLIS
State : IN
Zip : 46268-6620
Country : US
Telephone Number : 317-338-9600
Fax Number : 317-338-4585
Provider Business Practice Location Address
First Line : 8521 CROWN POINT RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46278-9704
Country : US
Telephone Number : 317-338-9600
Fax Number : 317-338-4585
Authorized Official
Title or Position : CEO
Name : JAMES C. VAN DYKE
Credential :
Telephone Number : 317-338-4501
Provider Enumeration Date : 05/24/2006
Last Update Date : 01/08/2014

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Directions to “NEW HOPE OF INDIANA, INC. ” Practice Location

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