Destination Independence LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

DESTINATION INDEPENDENCE LLC

Practice address

103 Biltmore St Ste 100
San Antonio, TX 78213-2260

Phone

(210) 899-1920

Fax

(210) 444-9556

NPI assigned

Jan 27, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Susanne Deiter

Title

Owner

Phone

(210) 899-1920

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1316304959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BILTMORE ST STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132260",
            "telephone_number": "210-899-1920",
            "fax_number": "210-444-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 BILTMORE ST STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132260",
            "telephone_number": "210-899-1920",
            "fax_number": "210-444-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINATION INDEPENDENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "DEITER",
        "authorized_official_first_name": "SUSANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-899-1920",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Case Management Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.