Providence

LBN: New Hope Of Indiana, Inc.
Providence is an health care organization with primary practice located at 721 W 73Rd St , Indianapolis IN 46260-4149. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness, which is considered as the primary health care specialty. New Hope Of Indiana, Inc. can be contacted via phone (317) 338-9600, or through Van Dyke, James C via phone (317) 338-4501.

Contact Information

Primary practice address
721 W 73Rd St Indianapolis IN 46260-4149
Phone: (317) 338-9600
Fax: (317) 338-4585
Website:
Map and Directions
Authorized official contact:
Name: Van Dyke, James C
Phone: (317) 338-4501

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness 310500000X 2538P0011DE04 Indiana

Profile Details

NPI number 1841467461
LBN Legal business name New Hope Of Indiana, Inc.
DBA Doing business as Providence
Authorized official Van Dyke, James C
Entity Organization
Organization subpart 1 No
Enumeration date May 13th, 2008
Last updated Jan 8th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841467461 NPPES
Indiana MEDICAID 200900320A

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