Destiny Services LLC

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

Legal business name

DESTINY SERVICES LLC

Practice address

1050 Connecticut Ave NW
10TH Floor
Washington, DC 20036-5303

Phone

(202) 486-9171

NPI assigned

Jun 1, 2015

Last updated

Jun 1, 2015By 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

Rose Mekoukam

Title

Ceo/Woner

Phone

(202) 486-9171

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1467832808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 CONNECTICUT AVE NW",
            "address_2": "10TH FLOOR",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 CONNECTICUT AVE NW",
            "address_2": "10TH FLOOR",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365303",
            "telephone_number": "202-486-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "MEKOUKAM",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "CEO/WONER",
        "authorized_official_telephone_number": "202-486-9171"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samerawit Desta
• Yewedianes Desta
• Yiftusra Desta
• Zion Ketema Desta
• Destiny Community Services LLC
• Destiny, Power & Purpose, Inc.
• Tricia Desvarieux
• Candace S. Detchon, PH.D.
• Patrice Detchou Tchuatieu
• Prosper Detchoua Kayambit

• Pediatric Skilled Nursing Facility in Washington, DC
• Providers in Washington, DC by specialty
• Pediatric Skilled Nursing Facility in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.