Provider Demographics
NPI:1649901364
Name:DESTINY RESIDENTIAL CARE SERVICES INC.
Entity type:Organization
Organization Name:DESTINY RESIDENTIAL CARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:TINGWEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-481-4000
Mailing Address - Street 1:600 BARWOOD PARK APT 1311
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78753-6463
Mailing Address - Country:US
Mailing Address - Phone:240-481-4000
Mailing Address - Fax:
Practice Address - Street 1:600 BARWOOD PARK APT 1311
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78753-6463
Practice Address - Country:US
Practice Address - Phone:240-481-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-22
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No251E00000XAgenciesHome Health