Destiny Home Health, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DESTINY HOME HEALTH, INC

Practice address

10201 Riverside Dr Ste 200
Toluca Lake, CA 91602-2538

Phone

(818) 856-0448

NPI assigned

Aug 6, 2020

Last updated

Oct 13, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

DESTINY HEALTHCARE, INCAs reported in NPPES

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

Authorized official

Name

Yeranuhi Grigoryan

Title

Ceo

Phone

(818) 856-0448

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043820723. Details of each certification follow.

• CCN 757085 Home health agency · Active · Details

Home health agency certification: CCN 757085

Legal name

DESTINY HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 22, 2022

Last certification

Jul 22, 2022

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Aug 3, 2020 in CA

Enrollment address

10201 Riverside Dr
Ste 200
Toluca Lake, CA 91602-2538

Listed as

Destiny Home Health, IncCCN 757085 · All quality measures

Overall star rating

3.5 of 5

Ownership

Proprietary

Certified

Jul 22, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

Locations

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.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Destiny Healthcare, LLC

  • Community/Behavioral Health Agency
  • San Ramon, CA
  • NPI 1922701390
  NPPES parent name

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Ziad Allos, M.D.

  • Family Medicine Physician
  • La Mesa, CA
  • NPI 1215243092

  Home health agency

  Care Compare affiliation
• Sabah Noori Mansour

  • Family Medicine Physician
  • El Cajon, CA
  • NPI 1194388637

  Home health agency

  Care Compare affiliation
• Fahima Nadi

  • Sleep Medicine (Internal Medicine) Physician
  • El Cajon, CA
  • NPI 1770072290

  Home health agency

  Care Compare affiliation
• Labeed Sami Nouri, M.D.

  • Surgery Physician
  • Sterling Heights, MI
  • NPI 1154355709

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1043820723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 RIVERSIDE DR STE 200",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022538",
            "telephone_number": "818-856-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 RIVERSIDE DR STE 200",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022538",
            "telephone_number": "818-856-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY HOME HEALTH, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DESTINY HEALTHCARE, INC",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "GRIGORYAN",
        "authorized_official_first_name": "YERANUHI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-856-0448"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Affiliated Physicians Incorporated
• Lauren Singer Compton, LCSW
• Nicole J. Corbett, L.AC.
• Cranial Therapies, Inc
• Grenda Black David
• Mary Theresa Dousette, PHD MFT
• Dr. Wiyatta Psychology Corporation
• Gabrielle Elizabeth Ebert, ACSW
• Eleanor a Wallen DPM Inc
• Empower Recovery Center LLC

• Home Health Agency in Toluca Lake, CA
• Providers in Toluca Lake, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.