Active NPI
Destiny Russell
- Home Health Aide
- Idyllwild, CA
National Provider Identifier
1801774393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 26350 Delano Dr SPC 74
Idyllwild, CA 92549-2631 - Phone
- (840) 250-8641
- NPI assigned
- Aug 23, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
26350 Delano Dr SPC 74
Idyllwild, CA 92549-2631
Mailing address
PO Box 99
Mountain Center, CA 92561-0099
Phone (840) 250-8641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755907200000",
"number": "1801774393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 99",
"city": "MOUNTAIN CENTER",
"state": "CA",
"postal_code": "925610099",
"telephone_number": "840-250-8641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26350 DELANO DR SPC 74",
"city": "IDYLLWILD",
"state": "CA",
"postal_code": "925492631",
"telephone_number": "840-250-8641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "DESTINY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-23",
"last_updated": "2025-08-23",
"certification_date": "2025-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Idyllwild, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.