Destined Care LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7675 Issued in SC

Legal business name

DESTINED CARE LLC

Practice address

3407 Wilshire Blvd Apt 201
Wilmington, NC 28403-4278

Phone

(843) 810-6555

NPI assigned

Nov 14, 2013

Organization subpart

No

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

Authorized official

Name

Shufarrel Hicks

Title

Owner

Phone

(843) 810-6555

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1700216538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 WILSHIRE BLVD APT 201",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034278",
            "telephone_number": "843-810-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 WILSHIRE BLVD APT 201",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034278",
            "telephone_number": "843-810-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "SHUFARREL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-810-6555"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "SC",
            "license": "7675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Policarpo Rodney Despaigne, PA-C
• Emily Despain, LCMHC-A
• Danielle Antoinette Dest, LCSW
• Heather R. Dest, LCSW
• Destination Wellness Therapy PLLC
• Roxanne S. Devane, RN, FNP
• Jennifer Devers, P.T.
• William Shane Devers, P.T.
• Diana Shawn Deviney, CNM
• Devmar Behavioral, PLLC

• Massage Therapist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Massage Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.