Destiny Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

DESTINY ASSISTED LIVING LLC

Practice address

1315 Richardson Rd
Lathrop, CA 95330-7602

Phone

(209) 699-2203

NPI assigned

Sep 17, 2026

Last updated

Sep 17, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Navneet Kaur Grewal

Title

Administrator

Phone

(209) 637-1244

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1245141134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 RICHARDSON RD",
            "city": "LATHROP",
            "state": "CA",
            "postal_code": "953307602",
            "telephone_number": "209-699-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 RICHARDSON RD",
            "city": "LATHROP",
            "state": "CA",
            "postal_code": "953307602",
            "telephone_number": "209-699-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "GREWAL",
        "authorized_official_first_name": "NAVNEET",
        "authorized_official_middle_name": "KAUR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "209-637-1244"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crestwood Behavioral Health Inc
• Shuntae Dawson, M.F.T
• Virgilie Alyana Del Mundo
• Edwin Bulaong Del Rosario, NP
• Kelvin Clarence Aquilizan Derrada
• Jasroop Jit Dhaliwal
• Dhillon Dental Incorporated (Plume Dental)
• Harkirat Kaur Dhillon, DDS
• Japneet Singh Dhillon
• Yulissa Diaz Villa

• Assisted Living Facility in Lathrop, CA
• Providers in Lathrop, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.