Destine in-Home Care Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DESTINE IN-HOME CARE SERVICES, INC

Practice address

120 Central Dr W
Braham, MN 55006-3797

Phone

(320) 396-2699

Fax

(320) 396-2890

NPI assigned

Aug 16, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Joyce Jean Jackson

Title

Director

Phone

(320) 396-2699

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1710179460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CENTRAL DR W",
            "city": "BRAHAM",
            "state": "MN",
            "postal_code": "550063797",
            "telephone_number": "320-396-2699",
            "fax_number": "320-396-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CENTRAL DR W",
            "city": "BRAHAM",
            "state": "MN",
            "postal_code": "550063797",
            "telephone_number": "320-396-2699",
            "fax_number": "320-396-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINE IN-HOME CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "320-396-2699",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxanne Lynn Anderson, BS
• Braham Family Dental
• Robert D Copic, R.N.
• Jody Lyn Dixon, BA
• Andrea Downing, CCC-SLP
• East Central Dental Clinic, PA
• Five County Mental Health Center
• Lois June Flor, MA LICSW

• Home Health Agency in Braham, MN
• Providers in Braham, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; 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.