DEMETRIUS ANTWAN HAYNES
NPI 1619844800
Assisted Living Facility in Lakeland, FL

Q: What is Demetrius Haynes's NPI number?

The NPI number for Demetrius Haynes is 1619844800. It was assigned to this individual provider in the NPPES registry on October 21, 2025.

Q: What is Demetrius Haynes's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Q: When was this NPI record last updated?

The NPPES record for Demetrius Haynes was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.

Active since October 21, 2025

203 TARAWA ST, LAKELAND, FL 33805(646) 717-7222 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Demetrius Antwan Haynes NPPES

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

DEMETRIUS ANTWAN HAYNES (NPI 1619844800) is an individual assisted living facility provider in Lakeland, Florida and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1619844800

Entity TypeIndividualMale

Primary Taxonomy310400000X

Provider Legal NameDEMETRIUS ANTWAN HAYNES

Location Address203 TARAWA STLakeland, FL 33805-2950

Mailing Address203 Tarawa StLakeland, FL 33805-2950 · (646) 717-7222

Phone(646) 717-7222

Sole ProprietorYes

Enumeration DateOctober 21, 2025

NPPES CertifiedOctober 21, 2025

✔ NPI 1619844800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

203 TARAWA ST, Lakeland, FL 33805

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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 Haynes's NPI number?

The NPI number for Demetrius Haynes is 1619844800. It was assigned to this individual provider in the NPPES registry on October 21, 2025.

Where is Demetrius Haynes located?

Demetrius Haynes practices at 203 Tarawa St, Lakeland, FL 33805. The listed phone number is (646) 717-7222.

What is Demetrius Haynes's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Demetrius Haynes was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.