Active NPI
Destiny'S House Intensive in-Home
- In Home Supportive Care Agency
- Newport News, VA
National Provider Identifier
1144554007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 990
- Legal business name
- DESTINY'S HOUSE INTENSIVE IN-HOME
- Practice address
- 6060 Jefferson Ave
Ste 9003
Newport News, VA 23605-3014 - Phone
- (757) 706-3382
- Fax
- (757) 706-3383
- NPI assigned
- Sep 25, 2009
- Organization subpart
- Yes
- Parent organization
- DESTINY'S HOUSE RESIDENTIAL SERVICES, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Patrice Muhammad
- Title
- Office Manager
- Phone
- (757) 706-3382
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 990 | VA | Primary |
Addresses
Primary practice location
6060 Jefferson Ave
Ste 9003
Newport News, VA 23605-3014
Mailing address
6060 Jefferson Ave
Ste 9003
Newport News, VA 23605-3014
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 990 | Other | VA | DMHMRSAS |
National Provider Directory
National Provider Directory- Tax ID family
- Destiny'S House Residential Services LLC
- Part of
- Destiny'S House Residential Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Williamsburg, VA
- NPI 1265696868
Ownership & related parties
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.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Williamsburg, VA
- NPI 1265696868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253836800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253836800000",
"number": "1144554007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6060 JEFFERSON AVE",
"address_2": "STE 9003",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236053014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6060 JEFFERSON AVE",
"address_2": "STE 9003",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236053014",
"telephone_number": "757-706-3382",
"fax_number": "757-706-3383"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESTINY'S HOUSE INTENSIVE IN-HOME",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DESTINY'S HOUSE RESIDENTIAL SERVICES, LLC",
"enumeration_date": "2009-09-25",
"last_updated": "2009-09-25",
"status": "A",
"authorized_official_last_name": "MUHAMMAD",
"authorized_official_first_name": "PATRICE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "757-706-3382",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "VA",
"license": "990",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMHMRSAS",
"identifier": "990",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.