Organization
HOPEBRIDGE, LLC
Active
Other names
Homefront Learning Center Inc DBA Hopebridge Pediatric Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE GRAFF (DIRECTOR OF CREDENTIALING)
(317) 376-8336
Entity
Organization
Contact information
Practice address
1558 E BOULEVARD STE A, KOKOMO, IN 46902-2479
(765) 252-0530
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
208000000X
Pediatrics Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000975491
ANTHEM
IN
05
—
110620800
—
FL
05
—
110620801
—
FL
05
—
110620803
—
FL
05
—
110620804
—
FL
05
—
110620805
—
FL
05
—
110620806
—
FL
05
—
110620807
—
FL
05
—
110620808
—
FL
05
—
110620809
—
FL
05
—
110620810
—
FL
05
—
110620811
—
FL
05
—
200533240 A, C-I
—
IN
05
—
200925340A-I
—
IN
05
—
201036870A
—
OK
05
—
201036870C
—
OK
05
—
3000013388
—
IN
05
—
300006160
—
IN
05
—
300007160
—
IN
05
—
300007183
—
IN
05
—
300007293
—
IN
05
—
300007369
—
IN
05
—
300007629
—
IN
05
—
7100493250
—
KY
Enumeration date
02/22/2007
Last updated
09/24/2025
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