Organization Active NPI

Destin Healthcare Inc

  • Nursing Facility Supplies (DME)
  • Jackson, MS
National Provider Identifier
1306778824
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility Supplies (DME)Taxonomy code 332BN1400X
Legal business name
DESTIN HEALTHCARE INC
Practice address
4612 Medgar Evers Blvd Ste 10
Jackson, MS 39213-5205
Phone
(601) 249-9868
NPI assigned
Jun 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Authorized official

Name
Deja M Almore
Title
Executive Director
Phone
(601) 249-9868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility Supplies (DME) 332BN1400X Primary

Addresses

Primary practice location

4612 Medgar Evers Blvd Ste 10
Jackson, MS 39213-5205

Mailing address

4612 Medgar Evers Blvd Ste 10
Jackson, MS 39213-5205

National Provider Directory

National Provider Directory
Tax ID family
Destin Healthcare 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.

NPI Registry JSON

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

{
    "created_epoch": "1780272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1306778824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 MEDGAR EVERS BLVD STE 10",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392135205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 MEDGAR EVERS BLVD STE 10",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392135205",
            "telephone_number": "601-249-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTIN HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-05-30",
        "status": "A",
        "authorized_official_last_name": "ALMORE",
        "authorized_official_first_name": "DEJA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "601-249-9868"
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.