HOPEBRIDGE, LLC (NPI# 1891820668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891820668 |
| Entity Type | Organization |
| Organization Name | HOPEBRIDGE, LLC |
| Other Organization Name | HOMEFRONT LEARNING CENTER INC DBA HOPEBRIDGE PEDIATRIC SPECIALISTS |
| Practice Address |
1558 E Boulevard Ste A Kokomo IN 46902-2479 |
| Mailing Address |
3500 Depauw Blvd Suite 3070 Indianapolis IN 46268-6135 |
| Practice Telephone | 7652520530 |
| Practice Fax Number | 3175208200 |
| Mailing Telephone | 8553240885 |
| Mailing Fax Number | 3177632099 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2019-09-19 |
| Authorized Official Name | ANGIE GRAFF (INSURANCE & CREDENTIALING MANAGER) |
| Authorized Official Telephone | 3173768336 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000975491 | 01 |
| IN | 300007160 | 05 | |
| IN | 300007629 | 05 | |
| IN | 200533240 A, C-I | 05 | |
| IN | 200925340A-I | 05 | |
| IN | 300007369 | 05 | |
| IN | 300006160 | 05 | |
| IN | 300007183 | 05 | |
| IN | 3000013388 | 05 | |
| IN | 300007293 | 05 |
| Other Name | Type Code |
|---|---|
| Homefront Learning Center Inc DBA Hopebridge Pediatric Specialists | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11450 N Meridian St Ste 100, Carmel, IN 460324688 | 8553240885 | |
| 17390 Dugdale Dr, South Bend, IN 466351512 | 5744002169 | |
| 17390 Dugdale Dr Ste 100, South Bend, IN 466351512 | 5744002169 | |
| 21 S Park Blvd Ste 21, Greenwood, IN 461438838 | 3174492104 | |
| 2222 Poshard Dr, Columbus, IN 472031843 | 8123024750 | 3175208200 |
| 251 W 84th Dr, Merrillville, IN 464106243 | 2192053463 | |
| 2513 W 2nd St, Marion, IN 469523241 | 7656620490 | |
| 355 Quartermaster Ct, Jeffersonville, IN 471303670 | 8122589802 | |
| 3771 S A St, Richmond, IN 473746053 | 7655984197 | |
| 3781 Bayley Dr Ste B, Lafayette, IN 479058647 | 7652014797 | |
| 4126 S 7th St, Terre Haute, IN 478024123 | 8126452308 | |
| 4422 E State Blvd, Fort Wayne, IN 468156917 | 2604719263 | |
| 450 S Landmark Ave, Bloomington, IN 474035000 | 8553240885 | 7654506664 |
| 4655 Rosebud Ln, Newburgh, IN 476309366 | 8122138031 | |
| 6635 E 21st St Ste 100, Indianapolis, IN 462192252 | 3176082824 | |
| 6925 Parkdale Pl, Indianapolis, IN 462544673 | 3175974553 | |
| 9769 Crosspoint Blvd, Indianapolis, IN 462563346 | 8553240885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154882397 | Hopebridge, LLC | Psychologist | 9559 Highway 5 Ste 601, Douglasville, GA 30135-1572 | 2019-03-29 |
| 1790245173 | Hopebridge, LLC | Psychologist | 2651 Dallas Hwy Sw, Marietta, GA 30064-2541 | 2019-03-22 |
| 1174097752 | Hopebridge, LLC | Behavioral Analyst | 4931 Riverside Dr Ste A, Macon, GA 31210-1156 | 2019-01-16 |
| 1952880049 | Hopebridge, LLC | Behavior Technician | 4000 Smithtown Rd Ste 200, Suwanee, GA 30024-6560 | 2018-08-09 |
| 1922586486 | Hopebridge, LLC | Behavioral Analyst | 1455 Old Alabama Rd Ste 195, Roswell, GA 30076-2129 | 2018-08-06 |
| 1902396583 | Hopebridge, LLC | Psychologist | 7325 Production Dr, Mentor, OH 44060-4889 | 2018-05-18 |
| 1922522192 | Hopebridge, LLC | Psychologist | 1255 Kemper Meadow Dr Ste 900, Cincinnati, OH 45240-1633 | 2017-07-31 |
| 1497279814 | Hopebridge, LLC | Behavioral Analyst | 7264 Columbia Rd Ste 700, Mason, OH 45039-8086 | 2017-07-27 |
| 1114587110 | Hopebridge, LLC | Behavioral Analyst | 9302 E 22nd St, Tucson, AZ 85710-7342 | 2019-06-20 |
| 1053872291 | Hopebridge, LLC | Behavioral Analyst | 126 Pavilion Pkwy, Fayetteville, GA 30214-4056 | 2019-03-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Hopebridge, LLC | 3500 Depauw Blvd., Suite 3070, Indianapolis, IN 46268 |
| Street Address |
1558 E BOULEVARD STE A |
| City | KOKOMO |
| State | IN |
| Zip Code | 46902-2479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033716071 | Devi Paige Hall | Behavior Technician | 1558 E Boulevard Ste A, Kokomo, IN 46902-2587 | 2020-10-02 |
| 1124625223 | Kristen Joy Miller | Behavior Technician | 1558 E Boulevard Ste A, Kokomo, IN 46902-2587 | 2020-10-02 |
| 1164029237 | Elleree Ashlynne Joyce Beatty | Behavior Technician | 1558 E Boulevard Ste A, Kokomo, IN 46902-2587 | 2020-10-02 |
| 1508463738 | Lakita Renea Ward | Behavior Technician | 1558 E Boulevard Ste A, Kokomo, IN 46902-2587 | 2020-10-01 |
| 1215544598 | Beza Helina Townsend | Behavior Technician | 1558 E Boulevard Ste A, Kokomo, IN 46902-2587 | 2020-09-30 |
| 1942817226 | Hannah Camille Murphy | Behavior Technician | 1558 E Boulevard Ste A, Kokomo, IN 46902-2587 | 2020-09-30 |
| 1861009177 | Kaitlin Miranda Thomas | Behavior Technician | 1558 E Boulevard Ste A, Kokomo, IN 46902-2587 | 2020-09-30 |
| 1255948543 | Cherah Renee Graves | Behavior Technician | 1558 E Boulevard Ste A, Kokomo, IN 46902-2587 | 2020-09-30 |
| 1144837261 | Abbie Lauren Frueh | Behavior Technician | 1558 E Boulevard Ste A, Kokomo, IN 46902-2587 | 2020-09-24 |
| 1972119634 | Tiffany Ann Rigdon | Behavior Technician | 1558 E Boulevard Ste A, Kokomo, IN 46902-2587 | 2020-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699306241 | Amber Barney | Nurse Practitioner | 3611 S Lafountain St, Kokomo, IN 46902 | 2020-02-03 |
| 1215585914 | Kenneth Waitt | Pharmacist | 4026 County Rd E 400 S, Kokomo, IN 46902 | 2019-08-27 |
| 1457906141 | With Dignity Too LLC | Clinic/Center | 1958 West Boulivard, Kokomo, IN 46902 | 2019-08-08 |
| 1649738931 | Kc Caregivers, Inc. | In Home Supportive Care | 4053 S Webster St, Kokomo, IN 46902 | 2019-03-06 |
| 1225514805 | Navneet Aulakh | Dentist | Lakewood Family Dental of Kokomo Pllc, 2302 S Dixon Rd Suite 125, Kokomo, IN 46902 | 2018-07-17 |
| 1285127548 | Jeremy Matthew Gibson | Case Manager/Care Coordinator | 2739 Albright Rd, Kokomo, IN 46902 | 2018-06-12 |
| 1821585175 | Kneeded Balance and Tranquility | Massage Therapist | 3708 S. Lafountain St, Kokomo, IN 46902 | 2018-04-21 |
| 1063812899 | Gabriel Valentine | Counselor | 1613 South Elizabeth St, Apt 1b, Kokomo, IN 46902 | 2014-08-28 |
| 1588085740 | Roni Dinglasa | Physical Therapist | 2102 Cedar Run Drive, Kokomo, IN 46902 | 2013-12-13 |
| 1063761559 | Kimberly R Kuehl | Pharmacist | 1037 S. Reed Road, Kokomo, IN 46902 | 2012-08-30 |
| Find all providers in zip 46902 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740470210 | Carl Thomas Ratliff Jr. | Psychiatry & Neurology | 322 N Main St, Kokomo, IN 46901-4622 | 2007-07-30 |
| 1316045768 | Deborah Kercheval | Psychiatry & Neurology | 322 N Main St, Kokomo, IN 46901-4622 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659695278 | Harmony Medical Associates LLC | Psychiatry & Neurology | 11837 Wedgeport Ln, Fishers, IN 46037-7987 | 2010-03-25 |
| 1508046624 | Kearn D Hinchman D O Inc | Psychiatry & Neurology | 53779 Generations Dr Ste 1, South Bend, IN 46635-1576 | 2007-11-06 |
| 1144337791 | Benjamin Louis Troy | Psychiatry & Neurology | 230 East Day Road, Suite 160, Mishawaka, IN 46545-3463 | 2006-08-23 |
| 1770526618 | Elizabeth A Taylor | Psychiatry & Neurology | 3055 N Lake Ct, Newburgh, IN 47630 | 2006-06-14 |
| 1407807746 | Syed J Khan | Psychiatry & Neurology | 10765 Lantern Road, Suite 102, Fishers, IN 46038-3597 | 2006-05-12 |
| 1821060294 | Michael Welling | Psychiatry & Neurology | 2040 Shadeland Ave, Ste 200, Indianapolis, IN 46219-1734 | 2006-02-01 |
| 1184616294 | Fadia T Aldahan | Psychiatry & Neurology | 5502 East 16th Street, Suite A21, Indianapolis, IN 46218-4932 | 2005-08-16 |
| 1700337920 | Kledzik Psychiatric LLC | Psychiatry & Neurology | 9245 N Meridian St, 225, Indianapolis, IN 46260-1836 | 2016-10-24 |
| 1255714390 | Ahmed Montaser | Psychiatry & Neurology | 121 Buntin St, Vincennes, IN 47591-1320 | 2015-07-07 |
| 1215334008 | Mind Md LLC | Psychiatry & Neurology | 833 Park East Blvd, Lafayette, IN 47905-0785 | 2014-11-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.