Provider Demographics
NPI:1255732459
Name:NEUROHOPE OF INDIANA INC
Entity type:Organization
Organization Name:NEUROHOPE OF INDIANA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:LEEUW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-525-8386
Mailing Address - Street 1:1300 E 96TH ST # 140
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-3731
Mailing Address - Country:US
Mailing Address - Phone:317-525-8386
Mailing Address - Fax:844-556-4672
Practice Address - Street 1:1300 E 96TH ST # 140
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-3731
Practice Address - Country:US
Practice Address - Phone:317-525-8386
Practice Address - Fax:844-556-4672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-08
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty