Healthcare Provider Details

I. General information

NPI: 1568377950
Provider Name (Legal Business Name): DESTINEE'S CLEANING LLC DBA DESTINEE'S COMPASSIONATE CLEANING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

507 CURTIS ST NE
GRAND RAPIDS MI
49505-5146
US

IV. Provider business mailing address

507 CURTIS ST NE
GRAND RAPIDS MI
49505-5146
US

V. Phone/Fax

Practice location:
  • Phone: 616-635-7422
  • Fax:
Mailing address:
  • Phone: 616-635-7422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DESTINEE JACKSON
Title or Position: CEO
Credential:
Phone: 616-635-7422