DEMETRIUS WHITEHEAD LPN NPI 1346880341

NPI Information

  • NPI: 1346880341
  • Provider Name: DEMETRIUS WHITEHEAD, LPN
  • Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
  • Entity Type: Individual
  • Address: 415 S BUTLER AVE
    INDIANAPOLIS, IN
    ZIP 46219
  • Phone: (317) 499-0437

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NPI Details

Demetrius Whitehead, LPN is a residential treatment facility physical disabilities in Indianapolis, IN. The provider is 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. Demetrius Whitehead, LPN NPI is 1346880341. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

415 S BUTLER AVE
INDIANAPOLIS, IN
ZIP 46219-034
Phone: (317) 499-0437

The enumeration date for this NPI number is 1/8/2020 and was last updated on 2/28/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1164W00000XLicensed Practical Nurse27060564AINDIANANo
2320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities21015321INDIANANo
3320700000XResidential Treatment Facility, Physical Disabilities21015321INDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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