Provider Demographics
NPI:1275013385
Name:DESTINY'S HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:DESTINY'S HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SUNNY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:214-321-1323
Mailing Address - Street 1:337 OAKS TRL STE 104
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-8028
Mailing Address - Country:US
Mailing Address - Phone:214-321-1323
Mailing Address - Fax:214-321-1326
Practice Address - Street 1:337 OAKS TRL STE 104
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-8028
Practice Address - Country:US
Practice Address - Phone:214-321-1323
Practice Address - Fax:214-321-1326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-17
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty