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	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1588377998
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DESTIN HEALTHCARE INC

Provider Business Mailing Address
First Line	:	PO BOX 1615
Second Line	:
City	:	YAZOO CITY
State	:	MS
Zip	:	39194-1615
Country	:	US
Telephone Number	:	601-249-9868
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	:	OWNER
Name	:	DE'JA M ALMORE
Credential	:
Telephone Number	:	601-249-9868

Provider Enumeration Date	:	12/30/2022
Last Update Date	:	05/30/2026

Similar Medicare Providers

1306778824 — DESTIN HEALTHCARE INC
Practice Location Address:

4612 MEDGAR EVERS BLVD STE 10
JACKSON, MS
39213-5205

Practice Phone: 601-249-9868
Practice Fax:

1053646190 — MORE CONVENIENT CARE CENTER LLC
Practice Location Address:

4612 MEDGAR EVERS BLVD , SUITE 10
JACKSON, MS
39213-5205

Practice Phone: 601-321-9104
Practice Fax: 601-321-9138

1285576991 — RELAX & RESTORE STUDIO
Practice Location Address:

4612 MEDGAR EVERS BLVD STE 15
JACKSON, MS
39213-5205

Practice Phone: 769-233-5948
Practice Fax:

1568946689 — KAREN LYNNE REEVES RDN, LD
Practice Location Address:

1 JACKSON HILL DR NE
ROME, GA
30161-5205

Practice Phone: 706-295-6485
Practice Fax: 706-802-5506

1760959175 — NORTHWEST GEORGIA REGIONAL COMMISSION AREA AGENCY
Practice Location Address:

1 JACKSON HILL DR NE
ROME, GA
30161-5205

Practice Phone: 706-295-6485
Practice Fax:

1184607210 — DR. SRINIVASAN VIJAYAKUMAR M.D.
Practice Location Address:

350 W WOODROW WILSON AVE , SUITE 16
JACKSON, MS
39213-7681

Practice Phone: 601-815-6886
Practice Fax:

Directions to “DESTIN HEALTHCARE INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.