MEDICARE: DESTINY LIFE TRANSITIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility

General Provider Information

NPI Number	:	1942152913
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DESTINY LIFE TRANSITIONS LLC

Provider Business Mailing Address
First Line	:	7035 S 45TH AVE
Second Line	:
City	:	LAVEEN
State	:	AZ
Zip	:	85339-4289
Country	:	US
Telephone Number	:	480-370-1815
Fax Number	:

Provider Business Practice Location Address
First Line	:	7035 S 45TH AVE
Second Line	:
City	:	LAVEEN
State	:	AZ
Zip	:	85339-4289
Country	:	US
Telephone Number	:	480-370-1815
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	TAGANG BAWA
Credential	:
Telephone Number	:	480-370-1815

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

Similar Medicare Providers

1609556927 — NATHAN CARE HOME
Practice Location Address:

7035 S 45TH AVE
LAVEEN, AZ
85339-4289

Practice Phone: 480-370-1815
Practice Fax:

1487507224 — DWENNIMMEN COUNSELING PLLC
Practice Location Address:

5530 W WALATOWA ST
LAVEEN, AZ
85339-5497

Practice Phone: 602-741-1660
Practice Fax:

1477405678 — SERENITY IN HEART COUNSELING SERVICES PLLC
Practice Location Address:

5045 W BASELINE RD STE 105-238
LAVEEN, AZ
85339-7392

Practice Phone: 480-527-4138
Practice Fax:

1952253742 — SAHARA RAHMAN
Practice Location Address:

7211 W DARROW ST
LAVEEN, AZ
85339-2638

Practice Phone: 480-512-1235
Practice Fax:

1427352467 — MS. DANIELLE MARIE WRAY SLP
Practice Location Address:

7275 W VINEYARD RD
LAVEEN, AZ
85339-9805

Practice Phone: 608-605-8540
Practice Fax:

1184575334 — BJH GENTLE HANDS HOME CARE
Practice Location Address:

4933 W LA PUENTA AVE
LAVEEN, AZ
85339-3176

Practice Phone: 669-732-0065
Practice Fax:

Directions to “DESTINY LIFE TRANSITIONS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.