Destiny Facility LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DESTINY FACILITY LLC

Practice address

9118 W Sells Dr
Phoenix, AZ 85037-0805

Phone

(623) 248-4680

NPI assigned

Jul 2, 2022

Organization subpart

No

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

Authorized official

Name

William Sobanuka Sobanuka

Title

Ceo

Phone

(203) 684-4330

Specialties & licenses 1

Addresses

Practitioners 1

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

• William Sobanuka

  • Mental Health Counselor
  • Phoenix, AZ
  • NPI 1902540073
  NPD

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

{
    "created_epoch": "1656720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656720000000",
    "number": "1689307175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11234 W LOCUST LN",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231113",
            "telephone_number": "120-368-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9118 W SELLS DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850370805",
            "telephone_number": "623-248-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-02",
        "last_updated": "2022-07-02",
        "certification_date": "2022-07-02",
        "status": "A",
        "authorized_official_last_name": "SOBANUKA",
        "authorized_official_first_name": "WILLIAM SOBANUKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "203-684-4330"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Richard Dessables, MD
• Katharine L Dessenberger, P.N.P.
• Dessert Ridge Professional LLC
• Ashley Destefano
• Destined for Care Agency, LLC
• Destiny Hands Home Care LLC
• Destiny Hands Medical Staffing
• Destiny Outpatient Services
• Destiny Sober Living
• Destiny Sober Living

• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2022; 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.