MEDICARE: NEW PERSPECTIVES 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
1	302F00000X	Exclusive Provider Organization	34001287A	IN

General Provider Information

NPI Number	:	1750447611
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW PERSPECTIVES OF INDIANA, INC.

Provider Business Mailing Address
First Line	:	6308 RUCKER RD STE B
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-4881
Country	:	US
Telephone Number	:	317-465-9688
Fax Number	:	317-465-9689

Provider Business Practice Location Address
First Line	:	6308 RUCKER RD STE B
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-4881
Country	:	US
Telephone Number	:	317-465-9688
Fax Number	:	317-465-9689

Authorized Official
Title or Position	:	PRESIDENT AND OWNER
Name	:	MRS. JANICE E GABE
Credential	:	LCSW, MAC, CADAC
Telephone Number	:	317-465-9688

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	08/22/2020

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