My Destiny Home Care, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MY DESTINY HOME CARE, LLC

Practice address

512 E 32ND St
Suite 210
Joplin, MO 64804-3920

Phone

(417) 437-8273

NPI assigned

Apr 14, 2015

Organization subpart

No

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

Authorized official

Name

Gerard Mondestin, MA

Title

Ceo

Phone

(417) 291-9079

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1225424450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 E 32ND ST",
            "address_2": "SUITE 210",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043920",
            "telephone_number": "417-437-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 E 32ND ST",
            "address_2": "SUITE 210",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043920",
            "telephone_number": "417-437-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY DESTINY HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MONDESTIN",
        "authorized_official_first_name": "GERARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "417-291-9079",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710302898.",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathi Murphy
• Aaron G Murrell, D.O.
• Khaled Mustafa
• Adil Muzaffar
• Edwin Wahome Mwangi, PA
• My Destiny Homehealth Care LLC
• Brandon Myers, ATC
• Hannah Rachel Myers
• Jenna L Myers
• Jennifer Lee Myers, LCSW

• Community Based Hospice Care Agency in Joplin, MO
• Providers in Joplin, MO by specialty
• Community Based Hospice Care Agency in Missouri

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