Active NPI
Destinye Staffing Services LLC
- In Home Supportive Care Agency
- Myrtle Beach, SC
National Provider Identifier
1235908658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- DESTINYE STAFFING SERVICES LLC
- Practice address
- 119 Augusta Plantation Dr Unit F
Myrtle Beach, SC 29579-6440 - Phone
- (909) 590-5283
- NPI assigned
- Dec 27, 2023
- Organization subpart
- Yes
- Parent organization
- DESTINYE STAFFING SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elaine McLean
- Title
- Ceo
- Phone
- (909) 590-5283
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | |||
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Adult Day Care Clinic/Center | 261QA0600X | |||
| Infusion Therapy Clinic/Center | 261QI0500X |
Addresses
Primary practice location
119 Augusta Plantation Dr Unit F
Myrtle Beach, SC 29579-6440
Mailing address
119 Augusta Plantation Dr Unit F
Myrtle Beach, SC 29579-6440
Phone (909) 590-5283
National Provider Directory
National Provider Directory- Part of
- Destinye Staffing Services
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703635200000",
"number": "1235908658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 AUGUSTA PLANTATION DR UNIT F",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295796440",
"telephone_number": "909-590-5283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 AUGUSTA PLANTATION DR UNIT F",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295796440",
"telephone_number": "909-590-5283"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESTINYE STAFFING SERVICES LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DESTINYE STAFFING SERVICES",
"enumeration_date": "2023-12-27",
"last_updated": "2023-12-27",
"certification_date": "2023-12-27",
"status": "A",
"authorized_official_last_name": "MCLEAN",
"authorized_official_first_name": "ELAINE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "909-590-5283"
},
"taxonomies": [
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.