Destiny Home, Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

MHL-032-389 Issued in NC

Legal business name

DESTINY HOME, INC.

Practice address

630 Rippling Stream Rd
Durham, NC 27704-1233

Phone

(919) 454-7725

Fax

(919) 231-3736

NPI assigned

Feb 8, 2007

Last updated

Aug 22, 2020By 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

Oswald Nwogbo

Title

Director

Phone

(919) 454-7725

Specialties & licenses 1

Addresses

Tax ID family

Destiny Home Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Destiny Home, Inc. #2

  • Adolescent and Children Mental Health Clinic/Center
  • Raleigh, NC
  • NPI 1295965473
  NPD tax ID

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245371939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 VINTAGE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276103187",
            "telephone_number": "919-454-7725",
            "fax_number": "919-231-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 RIPPLING STREAM RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041233",
            "telephone_number": "919-454-7725",
            "fax_number": "919-231-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NWOGBO",
        "authorized_official_first_name": "OSWALD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-454-7725"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "MHL-032-389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree T. Palmer, DMD, PA (Bull City Dental)
• Annick Desjardins, M.D.
• Brenda Lee Desmarais, LCMHC
• Tyrone Despenza Jr.
• Destination Greatness, PLLC
• Destiny Pursuits Inc (Destiny Pursuit Inc)
• Valerie M Dethlefsen
• Melissa Detray
• Michael Francis Detweiler, PH.D.
• Olivia Wulf Detweiler, A-GNP-C

• Adult Mental Health Clinic/Center in Durham, NC
• Providers in Durham, NC by specialty
• Adult Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.