MEDICARE: OPERATION HOPE

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	251S00000X	Community/Behavioral Health Agency	251S00000X	IN

General Provider Information

NPI Number	:	1447599204
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPERATION HOPE

Provider Business Mailing Address
First Line	:	3642 N EMERSON AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46218-1736
Country	:	US
Telephone Number	:	317-698-1969
Fax Number	:	317-549-8979

Provider Business Practice Location Address
First Line	:	3702 N EMERSON AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46218-1738
Country	:	US
Telephone Number	:	317-698-1969
Fax Number	:	317-549-8979

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	JOANN P THOMPSON
Credential	:
Telephone Number	:	317-698-1969

Provider Enumeration Date	:	02/13/2013
Last Update Date	:	02/13/2013

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Directions to “OPERATION HOPE ” Practice Location

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