Destiny Hospice Care, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

DESTINY HOSPICE CARE, INC

Practice address

11212 N May Ave
Suite 303a
Oklahoma City, OK 73120-6336

Phone

(405) 650-0306

NPI assigned

Nov 18, 2013

Last updated

Nov 18, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Donald Ray Chadwell, M.D.NPI 1184741084

Title

President

Phone

(405) 650-0306

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald Ray Chadwell, MD

  • Physical Medicine & Rehabilitation Physician
  • Oklahoma City, OK
  • NPI 1184741084
  Authorized official Same address or phone

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1457781080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3456 NW 172ND TER",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730127098",
            "telephone_number": "405-650-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 N MAY AVE",
            "address_2": "SUITE 303A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731206336",
            "telephone_number": "405-650-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY HOSPICE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "CHADWELL",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-650-0306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirin Ruth Desouza, M.D.
• Monique Desrivieres
• Kassidy Desroche
• Ima Marie Dessinger
• Destiny Changers LLC
• Amber Detar
• Jane Detrich, DO
• Autumn Detrick, APRN-CNM
• Jana Detrick, DPH
• Michael David Detten, DPT, MPH

• Community Based Hospice Care Agency in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Community Based Hospice Care Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.