Organization Active NPI

Destiny Life Partners, LLC

  • Home Health Agency
  • New Haven, CT
National Provider Identifier
1164174256
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jan 20, 2022

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.