Provider Demographics
NPI:1518661545
Name:DESTINY HOSPICE AND PALLIATIVE CARE INC
Entity Type:Organization
Organization Name:DESTINY HOSPICE AND PALLIATIVE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED EMPLOYEE
Authorized Official - Prefix:MR
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:NOCETE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:888-984-8220
Mailing Address - Street 1:3510 HOBSON RD STE 101
Mailing Address - Street 2:
Mailing Address - City:WOODRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60517-1440
Mailing Address - Country:US
Mailing Address - Phone:630-743-9858
Mailing Address - Fax:630-931-0584
Practice Address - Street 1:3510 HOBSON RD STE 101
Practice Address - Street 2:
Practice Address - City:WOODRIDGE
Practice Address - State:IL
Practice Address - Zip Code:60517-1440
Practice Address - Country:US
Practice Address - Phone:630-743-9858
Practice Address - Fax:630-931-0584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based