DEMETRIUS WHITEHEAD LPN
NPI 1346880341
Residential Treatment Facility, Physical Disabilities in Indianapolis, IN

Q: What is Demetrius Whitehead's NPI number?

The NPI number for Demetrius Whitehead is 1346880341. It was assigned to this individual provider in the NPPES registry on January 8, 2020.

Q: What is Demetrius Whitehead's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.

Active since January 08, 2020

415 S BUTLER AVE, INDIANAPOLIS, IN 46219(317) 499-0437 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Demetrius Whitehead Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEMETRIUS WHITEHEAD LPN (NPI 1346880341) is an individual residential treatment facility, physical disabilities provider in Indianapolis, Indiana, licensed in Indiana (21015321) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1346880341

Entity TypeIndividualMale

Primary Taxonomy320700000X

Provider Legal NameDEMETRIUS WHITEHEADCredential: LPN

Location Address415 S BUTLER AVEIndianapolis, IN 46219-7034

Mailing Address415 S Butler AveIndianapolis, IN 46219-7034 · (317) 409-1422

Phone(317) 499-0437

Sole ProprietorYes

Enumeration DateJanuary 8, 2020

Last NPPES UpdateFebruary 28, 2024

NPPES CertifiedFebruary 28, 2024

✔ NPI 1346880341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyResidential Treatment Facility, Physical DisabilitiesResidential Treatment Facilities

Taxonomy Code320700000X

License✔ Licensed in IN · 21015321

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

Also ListedLicensed Practical NurseTaxonomy 164W00000X · License 27060564A (IN)

Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X · License 21015321 (IN)

415 S BUTLER AVE, Indianapolis, IN 46219

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Demetrius Whitehead's NPI number?

The NPI number for Demetrius Whitehead is 1346880341. It was assigned to this individual provider in the NPPES registry on January 8, 2020.

Where is Demetrius Whitehead located?

Demetrius Whitehead practices at 415 S Butler Ave, Indianapolis, IN 46219. The listed phone number is (317) 499-0437.

What is Demetrius Whitehead's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.

When was this NPI record last updated?

The NPPES record for Demetrius Whitehead was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.