House of Destiny

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

HOUSE OF DESTINY

Practice address

1009 Harriett St
Henderson, NC 27536-5527

Phone

(252) 432-5970

Fax

(252) 572-4489

NPI assigned

Aug 21, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Crystal Venable, LPNNPI 1053923169

Title

Director

Phone

(252) 432-5970

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Crystal Venable

  • Licensed Practical Nurse
  • Henderson, NC
  • NPI 1053923169
  NPD Authorized official

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1194337006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W BELLE ST",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275364101",
            "telephone_number": "252-432-5970",
            "fax_number": "252-572-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 HARRIETT ST",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275365527",
            "telephone_number": "252-432-5970",
            "fax_number": "252-572-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF DESTINY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "VENABLE",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-432-5970",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• House of Blessing Family Care Home, LLC
• Cquanica Houston-Burden, LCSWA
• Elizabeth Ann Houston, NP
• Alexandra Broome Hoyle, PT, DPT
• Wilson S Hoyle Jr., DDS
• Stephanie Willis Hoyt, PH.D.

• Mental Illness Community Based Residential Treatment Facility in Henderson, NC
• Providers in Henderson, NC by specialty
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.