Active NPI
Destiny Home Care, LLC
- Home Health Agency
- Miami, FL
National Provider Identifier
1144845454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- DESTINY HOME CARE, LLC
- Practice address
- 14923 NW 7TH Ave
Miami, FL 33168-3107 - Phone
- (305) 685-7669
- NPI assigned
- Jun 11, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marlene Lebrun, APRN
- Title
- Administrator/Ceo
- Phone
- (305) 685-7669
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
14923 NW 7TH Ave
Miami, FL 33168-3107
Mailing address
14923 NW 7TH Ave
Miami, FL 33168-3107
Phone (305) 685-7669
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043582596 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | destinyhomecare63@gmail.com | Direct |
National Provider Directory
National Provider DirectoryLocations
14923 NW 7th Ave
Miami, FL 33168
Phone (305) 685-7669
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.
-
- Family Nurse Practitioner
- Orlando, FL
- NPI 1043582596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591833600000",
"number": "1144845454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14923 NW 7TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331683107",
"telephone_number": "305-685-7669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14923 NW 7TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331683107",
"telephone_number": "305-685-7669"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESTINY HOME CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-11",
"last_updated": "2020-06-11",
"certification_date": "2020-06-11",
"status": "A",
"authorized_official_last_name": "LEBRUN",
"authorized_official_first_name": "MARLENE",
"authorized_official_title_or_position": "ADMINISTRATOR/CEO",
"authorized_official_telephone_number": "305-685-7669",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1043582596",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "destinyhomecare63@gmail.com",
"affiliation": "N",
"endpointDescription": "internet",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "14923 NW 7th Ave",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331683107",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.