MEDICARE: VOLUNTEERS OF AMERICA 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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1316794068
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VOLUNTEERS OF AMERICA OF INDIANA, INC

Provider Business Mailing Address
First Line	:	4181 E 96TH ST STE 120
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46240-3814
Country	:	US
Telephone Number	:	833-659-4357
Fax Number	:	833-520-1329

Provider Business Practice Location Address
First Line	:	1351 W BUENA VISTA RD
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47710-3338
Country	:	US
Telephone Number	:	833-659-4357
Fax Number	:	833-520-1329

Authorized Official
Title or Position	:	SENIOR VICE PRESIDENT OF COMPLIANCE
Name	:	LORI VARN
Credential	:
Telephone Number	:	614-253-6100

Provider Enumeration Date	:	05/01/2024
Last Update Date	:	06/05/2025

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