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General NPI Number Information
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NPI Number | 1942164397
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Entity Type | Organization
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Legal Business Name | DESTINY CARES LLC
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 1212 20TH ST N
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City | MOORHEAD
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State | MN
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Zip | 56560-1845
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Country | US
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Telephone | 218-289-0028
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Fax |
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Provider Business Mailing Address
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Address Line | 7362 UNIVERSITY AVE NE STE 310-5
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City | FRIDLEY
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State | MN
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Zip | 55432-3142
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Country | US
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Telephone | 218-227-5505
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Fax |
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Authorized Official
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Title or Position | EMPLOYEE
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Name | HENNEICEYAH CHAMBERS
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Credential |
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Telephone | 218-289-0028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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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 | 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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