Destiny Care Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DESTINY CARE SERVICES, INC.

Practice address

7083 Weurful Dr
Canal Winchester, OH 43110-8436

Phone

(614) 271-2490

Fax

(614) 321-6080

NPI assigned

Sep 21, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Blaise Raymond Mvoa Olama, M.B.A

Title

Chief Executive Officer

Phone

(614) 271-2490

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1306197074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7083 WEURFUL DR",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431108436",
            "telephone_number": "614-271-2490",
            "fax_number": "614-321-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7083 WEURFUL DR",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431108436",
            "telephone_number": "614-271-2490",
            "fax_number": "614-321-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-21",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "MVOA OLAMA",
        "authorized_official_first_name": "BLAISE",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "614-271-2490",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.B.A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.