Organization
NEW HOPE OF INDIANA, INC.
Active
Other names
Crown Point Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES C. VAN DYKE (CEO)
(317) 338-4501
Entity
Organization
Contact information
Practice address
8521 CROWN POINT RD, INDIANAPOLIS, IN 46278-9704
(317) 338-9600
(317) 338-4585
Mailing address
8450 N PAYNE RD, SUITE 300, INDIANAPOLIS, IN 46268-6620
(317) 338-9600
(317) 338-4585
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
2538M0010JN04
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200483530A
—
IN
Enumeration date
05/24/2006
Last updated
01/08/2014
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