MEDICARE: DESTIN HEALTHCARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BN1400X	Nursing Facility Supplies (DME)

General Provider Information

NPI Number	:	1306778824
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DESTIN HEALTHCARE INC

Provider Business Mailing Address
First Line	:	4612 MEDGAR EVERS BLVD STE 10
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39213-5205
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4612 MEDGAR EVERS BLVD STE 10
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39213-5205
Country	:	US
Telephone Number	:	601-249-9868
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DEJA M ALMORE
Credential	:
Telephone Number	:	601-249-9868

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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Directions to “DESTIN HEALTHCARE INC ” Practice Location

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