Destiny'S Gift

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

DESTINY'S GIFT

Doing business as

Destiny's Gift

Practice address

1354 W Girard Ave
Philadelphia, PA 19123-1015

Phone

(267) 497-8200

NPI assigned

Dec 29, 2023

Organization subpart

No

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

Authorized official

Name

Aughtney Khan

Title

Ceo

Phone

(856) 313-0151

Specialties & licenses 2

Addresses

Other names 1

• Destiny's Gift Doing business as

Locations

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1053180125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 CROOKED LN",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341129",
            "telephone_number": "856-313-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1354 W GIRARD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191231015",
            "telephone_number": "267-497-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY'S GIFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "AUGHTNEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-313-0151"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Destiny's Gift",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Destefano, CRNP
• Michael Anthony Destefon, OTR
• Destiny Homecare, LLC.
• Destiny Ife Inc
• Destiny Pharmacy of America Inc.
• Gladys Desvarieux
• Detention Management Solutions
• Matthew Detore, MPT
• John Alan Detre, MD
• Mercedes Julia Dettra, PMHNP

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.