Organization Active NPI

Personal Touch Elder Care Inc

Doing business as Destiny Care Providers

  • Nursing Facility/Intermediate Care Facility
  • Hemet, CA
National Provider Identifier
1689105645
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
PERSONAL TOUCH ELDER CARE INC
Doing business as
Destiny Care Providers
Practice address
4026 Bordeaux LN
Hemet, CA 92544-7809
Phone
(909) 234-5126
NPI assigned
Mar 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Authorized official

Name
Ms. Marcy A Vaughan
Title
Contract Manager
Phone
(951) 743-7946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X Primary

Addresses

Primary practice location

4026 Bordeaux LN
Hemet, CA 92544-7809

Mailing address

PO Box 1000
Moreno Valley, CA 92556-1000
Phone (951) 484-0022

Other practice location 1

27926 Rockwood Ave
Moreno Valley, CA 92555-5729
Phone (951) 363-8518

Other names 1

  • DESTINY CARE PROVIDERS Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2302161Personal Touch Elder Care, Inc.4026 Bordeaux LN, Hemet, CA 92544Certificate of waiverApr 3, 2028

National Provider Directory

National Provider Directory
Tax ID family
Destiny Care Providers2 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.

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1689105645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925561000",
            "telephone_number": "951-484-0022",
            "fax_number": "951-484-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4026 BORDEAUX LN",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925447809",
            "telephone_number": "909-234-5126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27926 Rockwood Ave",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925555729",
            "country_code": "US",
            "telephone_number": "951-363-8518",
            "fax_number": "951-363-8513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERSONAL TOUCH ELDER CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-22",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "MARCY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CONTRACT MANAGER",
        "authorized_official_telephone_number": "951-743-7946",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DESTINY CARE PROVIDERS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DESTINY CARE PROVIDERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.