Destiny Enterprises, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

343410 Issued in MN

Legal business name

DESTINY ENTERPRISES, LLC

Doing business as

A Touch of Home North

Practice address

915 21St St NW
Bemidji, MN 56601-4443

Phone

(218) 444-5878

Fax

(218) 444-5114

NPI assigned

Mar 17, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Shawn Michelle Vanantwerpen

Title

Owner/Operator

Phone

(218) 444-5878

Specialties & licenses 1

Addresses

Other names 1

• A Touch of Home North Doing business as

Locations

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1417271669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 21ST ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014443",
            "telephone_number": "218-444-5878",
            "fax_number": "218-444-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 21ST ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014443",
            "telephone_number": "218-444-5878",
            "fax_number": "218-444-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "VANANTWERPEN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "218-444-5878",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "343410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Touch of Home North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deep Rock Chiropractic PC
• Daniel Peter Dekrey, MD
• Pamela L Delancey, MS, ATC
• Rylie Jayne Demers
• Dermatology Professionals, PA
• Joanne Carol Detwiler, L.A.D.C.
• Lindamulage Supun Dinithi Chandr Devaadithiya-Appuhamy, DNP, PMHNP-BC, CNP
• Jessica A. Dewey, LADC
• William G Dicks, MD
• Betsy Dickson

• Assisted Living Facility in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; 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.