Organization Active NPI

Destiny Home Care

  • Home Health Agency
  • Bloomington, MN
National Provider Identifier
1841422524
Registry record updated Aug 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DESTINY HOME CARE
Practice address
9907 Wentworth Ave S
Bloomington, MN 55420-4830
Phone
(952) 888-7171
Fax
(952) 888-7724
NPI assigned
Aug 14, 2009
Last updated
Aug 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2009

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

Authorized official

Name
Faith Udeh
Title
Chief Financial Officer
Phone
(952) 888-7172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

9907 Wentworth Ave S
Bloomington, MN 55420-4830

Mailing address

10061 Harriet Ave S
Bloomington, MN 55420-4726
Phone (952) 888-7172

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2228365Destiny Home Care Services, Inc - Wentworth9907 Wentworth Avenue South, Bloomington, MN 55420Certificate of waiverJun 24, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250208000000",
    "number": "1841422524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10061 HARRIET AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554204726",
            "telephone_number": "952-888-7172",
            "fax_number": "952-888-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9907 WENTWORTH AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554204830",
            "telephone_number": "952-888-7171",
            "fax_number": "952-888-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-14",
        "last_updated": "2009-08-14",
        "status": "A",
        "authorized_official_last_name": "UDEH",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "952-888-7172"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.