Organization Active NPI

Desti Homecare Solutions LLC

  • Home Health Agency
  • New Haven, CT
National Provider Identifier
1073106837
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DESTI HOMECARE SOLUTIONS LLC
Doing business as
Desti Homecare Solutions LLc
Practice address
1695 Quinnipiac Ave
Suite D
New Haven, CT 06513
Phone
(475) 731-3255
NPI assigned
Feb 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Authorized official

Name
Keisha Boyd
Title
Owner
Phone
(475) 731-3255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1695 Quinnipiac Ave
Suite D
New Haven, CT 06513

Mailing address

176 Amity Rd Ste 218
Woodbridge, CT 06525-2239
Phone (475) 731-3255

Other practice location 1

208 Willow St
Waterbury, CT 06710-1943
Phone (475) 731-3255

Other names 1

  • Desti Homecare Solutions LLc Doing business as

National Provider Directory

National Provider Directory

Locations

208 Willow St
Waterbury, CT 06710
Phone (475) 731-3255

176 Amity Rd
Ste 218
Woodbridge, CT 06525

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1073106837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 AMITY RD STE 218",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252239",
            "telephone_number": "475-731-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 QUINNIPIAC AVE",
            "address_2": "SUITE D",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06513",
            "telephone_number": "475-731-3255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Willow St",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067101943",
            "country_code": "US",
            "telephone_number": "475-731-3255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DESTI HOMECARE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "475-731-3255"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desti Homecare Solutions LLc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Desti Homecare Solutions LLc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.