Destiny Homecare, LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

35623601 Issued in PA

Legal business name

DESTINY HOMECARE, LLC.

Practice address

329 E Gorgas LN
Philadelphia, PA 19119-1906

Phone

(856) 418-3900

NPI assigned

Nov 21, 2017

Organization subpart

No

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

Authorized official

Name

Shera Khan

Title

President/Ceo

Phone

(856) 418-3900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511222400000",
    "number": "1699289090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 E GORGAS LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191906",
            "telephone_number": "856-418-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 E GORGAS LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191906",
            "telephone_number": "856-418-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY HOMECARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-11-21",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SHERA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "856-418-3900"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "35623601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Dessy, MD
• Elilta Desta
• Ed J Destefano, CRNA
• Nicole Destefano, CRNP
• Michael Anthony Destefon, OTR
• Destiny Ife Inc
• Destiny Pharmacy of America Inc.
• Destiny'S Gift
• Gladys Desvarieux
• Detention Management Solutions

• Home Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.