Individual Healthcare Provider
Demetrius Whitehead, LPN
Provider's NPPES record last updated: February 28, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1346880341
- Primary Specialty
- Residential Treatment Facility, Physical Disabilities
- Practice Location
- Indianapolis, Indiana
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 17, 2026, 11:40 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Residential Treatment Facility, Physical Disabilities
Residential Treatment Facilities
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.
Taxonomy code 320700000X Licensed Practical Nurse
Nursing Service Providers
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Taxonomy code 164W00000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Residential Treatment Facilities
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.
Taxonomy code 320600000X
Provider-Reported License Information
- Residential Treatment Facility, Physical Disabilities (Indiana)
- 21015321
- Licensed Practical Nurse (Indiana)
- 27060564A
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Indiana)
- 21015321
Practice Locations
Practice Location
415 S Butler Ave
Indianapolis, Indiana 46219-7034
Phone: (317) 499-0437
Record Information
- Enumeration Date
- January 8, 2020
- Provider's NPPES Record Last Updated
- February 28, 2024
- Certification Date
- February 28, 2024
- NPISignal NPPES Dataset
- August 2026
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