Destiny Care Living LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DESTINY CARE LIVING LLC

Practice address

4707 Westwood Rd
Greensboro, NC 27410-6120

Phone

(336) 508-0554

NPI assigned

May 9, 2024

Organization subpart

No

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

Authorized official

Name

Debra M RobinsonNPI 1124710777

Title

Program Director

Phone

(336) 508-0554

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Debra M Robinson

  • Community/Behavioral Health Agency
  • Greensboro, NC
  • NPI 1124710777
  NPD Authorized official

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1992553390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 WESTWOOD RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274106120",
            "telephone_number": "336-508-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 WESTWOOD RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274106120",
            "telephone_number": "336-508-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY CARE LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "336-508-0554"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Covington Ferebee Desai, PA-C
• Jennifer A Deschler
• Anbec Deshield-Mayes, D.D.S.
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• Douglas Vernon Deussing, D.P.T.
• Vida Devaughn, MA,CCC-SLP
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• Sanjeev Kumar Deveshwar, MD

• Community/Behavioral Health Agency in Greensboro, NC
• Providers in Greensboro, 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 May 9, 2024; 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.