1841467461 NPI number — NEW HOPE OF INDIANA, INC.

Table of content: (NPI 1841467461)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841467461 NPI number — NEW HOPE OF INDIANA, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW HOPE OF INDIANA, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
PROVIDENCE
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841467461
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/08/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8450 N PAYNE RD
Provider Second Line Business Mailing Address:
SUITE 300
Provider Business Mailing Address City Name:
INDIANAPOLIS
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46268-6620
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
317-338-9600
Provider Business Mailing Address Fax Number:
317-338-4585

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
721 W 73RD ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
INDIANAPOLIS
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46260-4149
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-338-9600
Provider Business Practice Location Address Fax Number:
317-338-4585
Provider Enumeration Date:
05/13/2008

Additional Information

Authorized Official

Authorized Official Last Name:
VAN DYKE
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
C
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
317-338-4501

Provider Taxonomy Codes

  • Taxonomy code: 310500000X , with the licence number:  2538P0011DE04 , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 200900320A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".




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