Provider Demographics
NPI:1245758440
Name:DESTINY PLUS HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:DESTINY PLUS HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MELLI
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:301-377-8129
Mailing Address - Street 1:7777 LEESBURG PIKE # 409N
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22043-2411
Mailing Address - Country:US
Mailing Address - Phone:571-378-1180
Mailing Address - Fax:571-378-0799
Practice Address - Street 1:7777 LEESBURG PIKE # 409N
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22043-2411
Practice Address - Country:US
Practice Address - Phone:571-378-1180
Practice Address - Fax:571-378-0799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-07
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty