Destinys Supportive in-Home Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

990 Issued in VA

Legal business name

DESTINYS SUPPORTIVE IN-HOME SERVICES

Practice address

6060 Jefferson Ave
Suite 9003
Newport News, VA 23605-3014

Phone

(757) 706-3382

Fax

(757) 706-3383

NPI assigned

Jul 8, 2013

Organization subpart

Yes

Parent organization

DESTINYS HOUSE RESIDENTIAL SERVICESAs reported in NPPES

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

Authorized official

Name

Patrice Matthews

Title

Director

Phone

(757) 706-3382

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1831530765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 JEFFERSON AVE",
            "address_2": "SUITE 9003",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236053014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 JEFFERSON AVE",
            "address_2": "SUITE 9003",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236053014",
            "telephone_number": "757-706-3382",
            "fax_number": "757-706-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINYS SUPPORTIVE IN-HOME SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DESTINYS HOUSE RESIDENTIAL SERVICES",
        "enumeration_date": "2013-07-08",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "757-706-3382"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony John Derosa, M.D.
• George Newton Deshazo, ED.D.
• Destiny Helpers
• Destiny Helpers Psychiatric Associates LLC
• Destiny'S House Intensive in-Home
• Josue Desvarieux
• Detron Health Services
• Konchessa Deveau, MT
• Adrian Dews Sr., D.O.
• Branden Deyerle, M.D.

• Community/Behavioral Health Agency in Newport News, VA
• Providers in Newport News, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.