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General NPI Number Information
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NPI Number | 1164308177
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Entity Type | Organization
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Legal Business Name | DESTINED FOR OPTIONS
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 1927 CORPORATE SQUARE DRIVE SUITE A / AB
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City | SLIDELL
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State | LA
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Zip | 70458
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Country | US
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Telephone | 985-214-9147
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Fax | 985-214-9116
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Provider Business Mailing Address
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Address Line | 1927 CORPORATE SQUARE DRIVE SUITE A / AB
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City | SLIDELL
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State | LA
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Zip | 70458
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Country | US
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Telephone | 985-214-9147
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Fax | 985-214-9116
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Authorized Official
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Title or Position | OWNER
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Name | MS. CANDACE TAYLOR
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Credential | MC
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Telephone | 985-214-9147
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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