Destiny Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

DESTINY HOSPICE LLC

Practice address

3300 S Gessner Rd Ste 117
Houston, TX 77063-5374

Phone

(720) 254-5439

NPI assigned

Nov 23, 2020

Organization subpart

No

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

Authorized official

Name

Kanayo Okolo

Title

Administrator

Phone

(720) 254-5439

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 971688

Legal name

DESTINY HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 9, 2021

Last certification

Sep 9, 2021

Ownership / control type

Proprietary - Other

Organization structure

LLCProprietary

Incorporated

Nov 6, 2020 in TX

Enrollment address

3300 S Gessner Rd
Ste 117
Houston, TX 77063-5374

Listed as

Destiny Hospice, LLCCCN 971688

Ownership

For-Profit

Certified

Sep 9, 2021

Medicare certification status

ActiveFrom the Provider of Services file

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Gildardo Ceballos, M.D.

  • Internal Medicine Physician
  • Sugar Land, TX
  • NPI 1689956906

  Contracted Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gildardo Ceballos, M.D.

  • Internal Medicine Physician
  • Sugar Land, TX
  • NPI 1689956906
  NPD

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Gildardo Ceballos, M.D.

  • Internal Medicine Physician
  • Sugar Land, TX
  • NPI 1689956906

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1669076444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S GESSNER RD STE 117",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770635374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 S GESSNER RD STE 117",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770635374",
            "telephone_number": "720-254-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "OKOLO",
        "authorized_official_first_name": "KANAYO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "720-254-5439"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Community Health Services, Inc.
• Destiny Consulting
• Destiny Health Care Inc
• Destiny Home Health Agency, Inc
• Destiny Hospice and Palliative Care LLC
• Destiny Medical Supplies & Equipments
• Destiny Speech Therapy PLLC
• Crystal Desvignes
• Anita Deswal, M.D.
• Detailed Health Care LLC

• Community Based Hospice Care Agency in Houston, TX
• Providers in Houston, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.