Destiny Care Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

009792 Issued in TX

Legal business name

DESTINY CARE SERVICES, INC.

Practice address

7211 Regency Square Blvd
Suite 106
Houston, TX 77036-3138

Phone

(713) 785-4800

Fax

(713) 785-4806

NPI assigned

Sep 9, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Callista Davis, RN

Title

Administrator

Phone

(713) 785-4800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 679449

Legal name

DESTINY CARE SERVICES, INC.

Doing business as

DESTINY CARE SERVICES INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 25, 2004

Last certification

Mar 7, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Mar 21, 2005 in TX

Enrollment address

8515 Fondren Rd
Ste 260
Houston, TX 77074-7070
HHA Branch

Listed as

Destiny Care Services IncCCN 679449 · All quality measures

Ownership

Proprietary

Certified

Mar 25, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Callista Nkeiruka Davis-Osuagwu, FNP,MSN

  • Family Nurse Practitioner
  • Sugar Land, TX
  • NPI 1114428513

  5% Or Greater Direct Ownership Interest, W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Callista Nkeiruka Davis-Osuagwu, FNP,MSN

  • Family Nurse Practitioner
  • Sugar Land, TX
  • NPI 1114428513
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1033103510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 REGENCY SQUARE BLVD",
            "address_2": "SUITE 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363138",
            "telephone_number": "713-785-4800",
            "fax_number": "713-785-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 REGENCY SQUARE BLVD",
            "address_2": "SUITE 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363138",
            "telephone_number": "713-785-4800",
            "fax_number": "713-785-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CALLISTA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-785-4800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethel Desta
• Edomias Desta, MD
• Yosiyas Desta
• Elizabeth Destephen, M.D.
• Destination Therapy PLLC
• Destiny Community Health Services, Inc.
• Destiny Consulting
• Destiny Health Care Inc
• Destiny Home Health Agency, Inc (Destiny Home Health Agency)
• Destiny Hospice and Palliative Care LLC

• Home Health Agency in Houston, TX
• Providers in Houston, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.