Our Destiny, LLC.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

OUR DESTINY, LLC.

Practice address

7211 W Brentwood Ave
Milwaukee, WI 53223-6125

Phone

(414) 349-1012

NPI assigned

Nov 16, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Katina Fuller

Title

Agent

Phone

(414) 349-1012

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Our Destiny LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• DLS Medical Equipment Provider

  • Durable Medical Equipment & Medical Supplies
  • Milwaukee, WI
  • NPI 1922274521
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• DLS Medical Equipment Provider

  • Durable Medical Equipment & Medical Supplies
  • Milwaukee, WI
  • NPI 1922274521
  NPPES parent name

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1184805244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250780",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532256511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 W BRENTWOOD AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532236125",
            "telephone_number": "414-349-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR DESTINY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "KATINA",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "414-349-1012",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41483500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ayodamola Otun, MD
• Terrance L Otzelberger, PA-C
• Khalil Ouellette, PHARMD
• James Oujiri, M.D.
• Our Daily Bread Community Outreach Center, Inc
• Our Home Sweet Home LLC
• Our Journey Together
• Our Legacy Transportation
• Our Space, Inc.
• Lanon Ousley

• Non-emergency Medical Transport (VAN) in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Non-emergency Medical Transport (VAN) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.