Destiny Management Incorporated

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MHL-018-090 Issued in NC

Legal business name

DESTINY MANAGEMENT INCORPORATED

Practice address

1056 3Rd Avenue Dr NW
Hickory, NC 28601-4855

Phone

(828) 855-1807

Fax

(828) 855-1815

NPI assigned

Aug 13, 2015

Last updated

Sep 1, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

DESTINY MANAGEMENT INC.As reported in NPPES

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

Authorized official

Name

Mr. Phillip Holland, BAQP

Title

Day Supports Coordinator

Phone

(828) 391-8282

Specialties & licenses 2

Addresses

Other names 1

• Bright Future's Day Support Other name

Tax ID family

Destiny Management Incorporated3 organizations share this tax ID, including this one

Part of

Destiny Management Incorporated

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Destiny Management Incorporated

  • Community/Behavioral Health Agency
  • Valdese, NC
  • NPI 1164613444
  NPD tax ID
• Destiny Management Incorporated

  • Community/Behavioral Health Agency
  • Drexel, NC
  • NPI 1275677551
  NPD tax ID

Locations

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504224000000",
    "number": "1780050716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 537",
            "city": "DREXEL",
            "state": "NC",
            "postal_code": "286190537",
            "telephone_number": "828-391-8282",
            "fax_number": "828-391-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 3RD AVENUE DR NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286014855",
            "telephone_number": "828-855-1807",
            "fax_number": "828-855-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY MANAGEMENT INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DESTINY MANAGEMENT INC.",
        "enumeration_date": "2015-08-13",
        "last_updated": "2017-09-01",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "DAY SUPPORTS COORDINATOR",
        "authorized_official_telephone_number": "828-391-8282",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BAQP"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": "MHL-018-090",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-018-090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Future's Day Support",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dermatology Center of Hickory, PA
• Desantis Family Practice
• Michael Christopher Desantis, M.D.
• Holly Capitano Desena, MD
• Susan E Desroches, FNP-C
• Virginia Detweiler, M.A.
• Stuart Dewitt, DC
• Melissa Di Natale
• Gregory Diamonti, M.D.
• Marsha Lynn Diamonti, FNP

• Community/Behavioral Health Agency in Hickory, NC
• Providers in Hickory, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.