Organization
NEW HOPE OF INDIANA, INC.
Active
Other names
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
9001 HOLLIDAY DR, INDIANAPOLIS, IN 46260-1754
(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
2538B0005JN08
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100245370A
—
IN
Enumeration date
06/08/2006
Last updated
01/08/2014
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