Healthcare Provider Details

I. General information

NPI: 1841114469
Provider Name (Legal Business Name): DESTINY HASTINGS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2016 N 37TH ST
OMAHA NE
68111-3508
US

IV. Provider business mailing address

2016 N 37TH ST
OMAHA NE
68111-3508
US

V. Phone/Fax

Practice location:
  • Phone: 402-730-6230
  • Fax:
Mailing address:
  • Phone: 402-730-6230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: