OrganizationActive
21st Century Total Wellness, LLC
NPI 1043412711 · Specialist · Demotte, IN
21st Century Total Wellness, LLC is a Specialist organization in Demotte, IN (NPI 1043412711).
Provider details
- NPI number
- 1043412711
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Edgar Prater, Resident Agent(219) 756-4695
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5522 E 989 N
Demotte, IN 46310-8016
Phone: (219) 345-3892
Street-level locationGet directions
Mailing address
5522 E 989 N
Demotte, IN 46310-8016
Registry dates
- Enumerated
- 2007-06-04
- Last updated
- 2020-08-22
Frequently asked questions
- What is 21st Century Total Wellness, LLC's NPI number?
- 21st Century Total Wellness, LLC's National Provider Identifier (NPI) is 1043412711, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 21st Century Total Wellness, LLC?
- 21st Century Total Wellness, LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is 21st Century Total Wellness, LLC located?
- 21st Century Total Wellness, LLC's practice location on file with NPPES is 5522 E 989 N, Demotte, IN 46310-8016.
- What is 21st Century Total Wellness, LLC's phone number?
- The practice phone number listed in the NPPES registry for 21st Century Total Wellness, LLC is (219) 345-3892.
- Who is the authorized official for 21st Century Total Wellness, LLC?
- The authorized official listed on 21st Century Total Wellness, LLC's NPPES record is Edgar Prater, Resident Agent. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 21st Century Total Wellness, LLC's NPI active?
- Yes — 21st Century Total Wellness, LLC's NPI (1043412711) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.