Destin Healthcare Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

DESTIN HEALTHCARE INC

Practice address

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

Phone

(601) 249-9868

NPI assigned

Dec 30, 2022

Organization subpart

No

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

Authorized official

Name

De'Ja M Almore

Title

Owner

Phone

(601) 249-9868

Specialties & licenses 1

Addresses

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.

• Destin Healthcare Inc

  • Nursing Facility Supplies (DME)
  • Jackson, MS
  • NPI 1306778824
  NPD tax ID

Locations

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780099200000",
    "number": "1588377998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1615",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391941615",
            "telephone_number": "601-249-9868"
        },
        {
            "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": "2022-12-30",
        "last_updated": "2026-05-30",
        "certification_date": "2026-05-30",
        "status": "A",
        "authorized_official_last_name": "ALMORE",
        "authorized_official_first_name": "DE'JA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-249-9868"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shivum Kumar Desai
• Smruti Pranav Desai, MD
• Richard D Deshazo, MD
• Lisa Marie Desselles, LCSW
• Destin Healthcare Inc
• Courtney Paige Detwiler
• Taylor Deushane, DO
• Heather Dawn Deville, DO
• Anjanette Michelle Devine, FNP
• Gwen Dew, PMHNP-BC

• Skilled Nursing Facility in Jackson, MS
• Providers in Jackson, MS by specialty
• Skilled Nursing Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.