Active NPI
Personal Touch Elder Care Inc
Doing business as Destiny Care Providers
- Nursing Facility/Intermediate Care Facility
- Hemet, CA
National Provider Identifier
1689105645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2302161 | Personal Touch Elder Care, Inc. | Certificate of waiver | Apr 3, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Destiny Care Providers
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Joyful Congregate Living
- Nursing Facility/Intermediate Care Facility
- Moreno Valley, CA
- NPI 1528787157
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.