Individual provider · Type 1 NPI

Detrice L. Parker

Attendant Care Provider · Indianapolis, IN

NPI number 1740004654 Active

Practice location

7164 Graham Rd Ste 140
Indianapolis, IN 46250-2675

Fax (317) 537-2107

Mailing address

711 E 65th St Ste 209
Indianapolis, IN 46220-1609

Specialties and licenses

TaxonomyCodeLicense
Personal Care Attendant 3747P1801X24-018102-1 (IN)
Attendant Care Provider Primary 3747A0650X24-018102-1 (IN)
Homemaker 376J00000X24-018102-1 (IN)

Attendant Care Provider: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

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About NPI 1740004654

Detrice L. Parker's National Provider Identifier is 1740004654, issued on Nov 8, 2024. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Indianapolis, IN. The record was last updated on Apr 13, 2026.