Destiny Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DESTINY CARE

Practice address

3232 River Valley LN
Memphis, TN 38119-8090

Phone

(901) 493-0808

NPI assigned

Nov 9, 2022

Organization subpart

No

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

Authorized official

Name

Danyell RussellNPI 1881227551

Title

Owner

Phone

(901) 493-0808

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Destiny Care Other name

Practitioners 1

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

• Danyell Russell

  • Home Health Aide
  • Memphis, TN
  • NPI 1881227551
  NPD Authorized official

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1235847138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 RIVER VALLEY LN",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381198090",
            "telephone_number": "901-493-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3232 RIVER VALLEY LN",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381198090",
            "telephone_number": "901-493-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-09",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "DANYELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-493-0808"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "1000000031843",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Destiny Care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Destiny Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael H Deshazo, MD
• Design-a-Job Placement Services
• James Paul Desrochers
• Eric Desroches, PHARMD
• Kristen Destefanis, MA
• Pamela Maxine Detrie, PH.D.
• Rachel Deutsch, SLP
• D'Arcy A Deveaux Sr., TH D
• Sydney Devers, MS,RD,LDN
• John P Devincenzo, MD

• In Home Supportive Care Agency in Memphis, TN
• Providers in Memphis, TN by specialty
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.