Destiny Healthcare Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1011943 Issued in IL

Legal business name

DESTINY HEALTHCARE SERVICES, INC.

Practice address

10031 W Roosevelt Rd Ste 100
Westchester, IL 60154-2669

Phone

(708) 450-1920

Fax

(708) 450-1921

NPI assigned

May 12, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Syed Najamuddin

Title

President

Phone

(708) 450-1920

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Home health agency certification: CCN 148341

Legal name

DESTINY HEALTHCARE SERVICES, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 4, 2012

Last certification

Dec 4, 2012

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jul 29, 2009 in IL

Enrollment address

10031 W Roosevelt Rd
Ste 100
Westchester, IL 60154-2669

Listed as

Destiny Healthcare Services, IncCCN 148341

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Dec 4, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Alexandra Mendez

  • Family Nurse Practitioner
  • South Holland, IL
  • NPI 1447794144

  Home health agency

  Care Compare affiliation
• Jerry Villasenor Jr., M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1831107135

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1285926949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10031 W ROOSEVELT RD STE 100",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601542669",
            "telephone_number": "708-450-1920",
            "fax_number": "708-450-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10031 W ROOSEVELT RD STE 100",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601542669",
            "telephone_number": "708-450-1920",
            "fax_number": "708-450-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "NAJAMUDDIN",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-450-1920",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011943",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "3001648",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Marie Dedic, PT
• Megan R Dekam, DPT
• Susan Demari, M.A. CCC-A
• Amira Demitry, PT, DPT
• Donna Marie Desai, LCPC
• Michelle Devaull Pinkerton, DDS
• Margaret Joan Devlin
• Colin Ditsworth, DPT
• Heidi Dore
• Samantha Rose Dotson, DNP, FNP-BC

• Home Health Agency in Westchester, IL
• Providers in Westchester, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.