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
1	310500000X	Mental Illness Intermediate Care Facility

General Provider Information

NPI Number	:	1962130187
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW HOPE OF INDIANA, INC.

Provider Business Mailing Address
First Line	:	8450 N PAYNE RD STE 300
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-6621
Country	:	US
Telephone Number	:	317-222-3220
Fax Number	:

Provider Business Practice Location Address
First Line	:	5701 DAPHNE DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46278-1914
Country	:	US
Telephone Number	:	317-222-3220
Fax Number	:

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	LAURA TOMLIN
Credential	:
Telephone Number	:	317-744-5611

Provider Enumeration Date	:	08/15/2022
Last Update Date	:	08/15/2022

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

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