Organization Active NPI

Destiny Family Service

  • In Home Supportive Care Agency
  • Harper Woods, MI
National Provider Identifier
1750634846
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DESTINY FAMILY SERVICE
Practice address
19435 Woodmont St
Harper Woods, MI 48225-1325
Phone
(586) 350-8196
NPI assigned
Oct 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Authorized official

Name
Desiree DismukeNPI 1598101032
Title
Ceo
Phone
(586) 350-8196

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X MI Primary

Addresses

Primary practice location

19435 Woodmont St
Harper Woods, MI 48225-1325

Mailing address

PO Box 8357
Eastpointe, MI 48021-8357

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1750634846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8357",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480218357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19435 WOODMONT ST",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251325",
            "telephone_number": "586-350-8196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY FAMILY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "DISMUKE",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-350-8196"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harper Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.