{
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"IsOrgSubpart": "N",
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"OrgName": "DESTINY PLUS HOME HEALTH SERVICES LLC",
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"FirstLineMailingAddress": "7777 LEESBURG PIKE # 409N",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FALLS CHURCH",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "22043-2411",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "571-378-1180",
"MailingAddressFaxNumber": "571-378-0799",
"FirstLinePracticeLocationAddress": "7777 LEESBURG PIKE # 409N",
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"PracticeLocationAddressCityName": "FALLS CHURCH",
"PracticeLocationAddressStateName": "VA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "571-378-1180",
"PracticeLocationAddressFaxNumber": "571-378-0799",
"EnumerationDate": "09/07/2017",
"LastUpdateDate": "09/11/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MELLI",
"AuthorizedOfficialFirstName": "DANIEL",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MS",
"AuthorizedOfficialTelephoneNumber": "301-377-8129",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "374U00000X",
"TaxonomyName": "Home Health Aide",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}