DEMETRIUS WHITEHEAD LPN – NPI #1346880341
Residential Treatment Facility, Physical Disabilities
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 is a residential treatment facility (RTF) located in INDIANAPOLIS, IN. NPPES has assigned the NPI number 1346880341 to DEMETRIUS WHITEHEAD on January 08, 2020. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320700000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Physical Disabilities.
The NPI profile was previously updated about 2 years ago on Feb 28, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEMETRIUS WHITEHEAD below.
NPI Profile for
DEMETRIUS WHITEHEAD
(more than 6 years ago)
INDIANAPOLIS, IN 46219-7034 Phone: (317) 499-0437 Fax:
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 320700000X - Residential Treatment Facility, Physical Disabilities (Primary) |
IN | 21015321 |
| 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
IN | 21015321 |
| 164W00000X - Licensed Practical Nurse |
IN | 27060564A |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.