Organization Active NPI

Destiny Living LLC

  • Assisted Living Facility
  • Miramar, FL
National Provider Identifier
1053543371
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL11567 Issued in FL
Legal business name
DESTINY LIVING LLC
Practice address
9230 N Cypress Cir
Miramar, FL 33025-2440
Phone
(954) 435-2882
NPI assigned
Aug 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Authorized official

Name
Gerald Oviasogie
Title
Administrator
Phone
(954) 665-8740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL11567 FL Primary

Addresses

Primary practice location

9230 N Cypress Cir
Miramar, FL 33025-2440

Mailing address

9230 N Cypress Cir
Miramar, FL 33025-2440

Other identifiers 1

IdentifierTypeStateIssuer
001023300MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1053543371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9230 N CYPRESS CIR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9230 N CYPRESS CIR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252440",
            "telephone_number": "954-435-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "OVIASOGIE",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-665-8740"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001023300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.