Active NPI
Destiny Life Partners, LLC
- Home Health Agency
- New Haven, CT
National Provider Identifier
1164174256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- DESTINY LIFE PARTNERS, LLC
- Practice address
- 185 Stimson Rd
New Haven, CT 06511-1670 - Phone
- (203) 623-5968
- NPI assigned
- Jan 20, 2022
- 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
- Ms. Sibyl Dawn Brooks
- Title
- Co-Owner
- Phone
- (203) 623-5968
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
185 Stimson Rd
New Haven, CT 06511-1670
Mailing address
1449 Whalley Ave Unit 3840
New Haven, CT 06525-7718
Phone (203) 623-5968
National Provider Directory
National Provider DirectoryLocations
1449 Whalley Ave
Unit 3840
New Haven, CT 06525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642636800000",
"number": "1164174256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1449 WHALLEY AVE UNIT 3840",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065257718",
"telephone_number": "203-623-5968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 STIMSON RD",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065111670",
"telephone_number": "203-623-5968"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESTINY LIFE PARTNERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-20",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A",
"authorized_official_last_name": "BROOKS",
"authorized_official_first_name": "SIBYL",
"authorized_official_middle_name": "DAWN",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "203-623-5968",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.