Your Destiny Home Care Agency LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

YOUR DESTINY HOME CARE AGENCY LLC

Practice address

8033 Old York Rd Ste 216a
Elkins Park, PA 19027-1422

Phone

(215) 277-3187

Fax

(215) 690-4089

NPI assigned

Oct 31, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Antuna

Title

Office Manager

Phone

(215) 277-3187

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540944000000",
    "number": "1801363528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8033 OLD YORK RD STE 216A",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271422",
            "telephone_number": "215-277-3187",
            "fax_number": "215-690-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8033 OLD YORK RD STE 216A",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271422",
            "telephone_number": "215-277-3187",
            "fax_number": "215-690-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR DESTINY HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A",
        "authorized_official_last_name": "ANTUNA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-277-3187",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.