Organization Active NPI

Destiny Health Care Services

  • In Home Supportive Care Agency
  • High Point, NC
National Provider Identifier
1114216637
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DESTINY HEALTH CARE SERVICES
Practice address
110 Scott Ave Ste 12a
High Point, NC 27262-7813
Phone
(336) 491-4645
NPI assigned
Apr 5, 2011
Last updated
Apr 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
Mr. Willie Gene Kittrell Jr.
Title
Owner/Director
Phone
(336) 491-4645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

110 Scott Ave Ste 12a
High Point, NC 27262-7813

Mailing address

110 Scott Ave Ste 12a
High Point, NC 27262-7813
Phone (336) 491-4645

National Provider Directory

National Provider Directory

Locations

110 Scott Ave
Ste 12A
High Point, NC 27262
Phone (336) 491-4645

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1114216637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SCOTT AVE STE 12A",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627813",
            "telephone_number": "336-491-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SCOTT AVE STE 12A",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627813",
            "telephone_number": "336-491-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "KITTRELL",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "336-491-4645",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.