Organization Active NPI

Destiny Rose Healthcare Services Inc

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1245773993
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DESTINY ROSE HEALTHCARE SERVICES INC
Practice address
1620 Glen Ave
Dallas, TX 75216-1727
Phone
(214) 778-7228
Fax
(214) 377-5009
NPI assigned
Nov 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Authorized official

Name
Toni M Martin-Moore
Title
Owner
Phone
(214) 778-7228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1620 Glen Ave
Dallas, TX 75216-1727

Mailing address

PO Box 543174
Grand Prairie, TX 75054-3174
Phone (214) 778-7228

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1245773993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 543174",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750543174",
            "telephone_number": "214-778-7228",
            "fax_number": "214-377-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 GLEN AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752161727",
            "telephone_number": "214-778-7228",
            "fax_number": "214-377-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY ROSE HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "MARTIN-MOORE",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-778-7228"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.