New Destiny Care of DFW-Lewisville

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

011002 Issued in TX

Legal business name

NEW DESTINY CARE OF DFW-LEWISVILLE

Practice address

500 W Main St
Suite 210
Lewisville, TX 75057-3641

Phone

(586) 634-0386

NPI assigned

May 18, 2015

Organization subpart

Yes

Parent organization

DESTINY HEALTH MANAGEMENT SERVICES CORPORATIONAs reported in NPPES

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

Authorized official

Name

Dr. Clarence A Parks, M.D

Title

Ceo

Phone

(815) 275-1540

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1043698400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 E TRINITY MILLS RD",
            "address_2": "SUITE 209-168",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750062545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "address_2": "SUITE 210",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573641",
            "telephone_number": "586-634-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DESTINY CARE OF DFW-LEWISVILLE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DESTINY HEALTH MANAGEMENT SERVICES CORPORATION",
        "enumeration_date": "2015-05-18",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "815-275-1540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "011002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Lewisville, TX
• Providers in Lewisville, 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 May 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.