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JERRICA BUTLER
NPI 1952710626
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Gary, IN

Active since August 07, 2014
1100 W 6TH AVE, GARY, IN 46402(219) 885-4264 Get Directions Write a Review

NPPES record last updated: August 7, 2014. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Jerrica Butler NPPES

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

JERRICA BUTLER (NPI 1952710626) is an individual residential treatment facility, intellectual and/or developmental disabilities provider in Gary, Indiana and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1952710626
Entity TypeIndividualFemale
Primary Taxonomy320600000X
Provider Legal NameJERRICA BUTLER
Location Address1100 W 6TH AVEGary, IN 46402-1711
Mailing Address1100 W 6th AveGary, IN 46402-1711 · (219) 885-4264
Phone(219) 885-4264
Sole ProprietorYes
Enumeration DateAugust 7, 2014
✔ NPI 1952710626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
1100 W 6TH AVE, Gary, IN 46402
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LARESSE HARRIS APRN, FNP-C
Nurse Practitioner (Family)
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 885-4264
DAWN RANDLE
Behavior Technician
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 885-4264
RESEDA STURDIVANT
Technician, Other
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 885-4264
LYTINA NICOLE BARNETT
Social Worker
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 885-4264
JEWEL YVETTA JONES
Technician (Attendant Care Provider)
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 885-4264
DIANEA' LYNN MCINTOSH
Behavior Analyst
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 885-4264
MARSHA CLARK RN
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 240-8615
SHANELL LITHRESE HIGHTOWER
Counselor
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 885-4264

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 Jerrica Butler's NPI number?

The NPI number for Jerrica Butler is 1952710626. It was assigned to this individual provider in the NPPES registry on August 7, 2014.

Where is Jerrica Butler located?

Jerrica Butler practices at 1100 W 6th Ave, Gary, IN 46402. The listed phone number is (219) 885-4264.

What is Jerrica Butler's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Jerrica Butler was last updated on August 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.