MEDICARE: DESTINYS HOME HEALTH CARE

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	251E00000X	Home Health Agency	008153	TX

General Provider Information

NPI Number	:	1841284981
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DESTINYS HOME HEALTH CARE

Provider Business Mailing Address
First Line	:	2331 GUS THOMASSON RD
Second Line	:	SUITE 137
City	:	DALLAS
State	:	TX
Zip	:	75228-3039
Country	:	US
Telephone Number	:	214-321-1323
Fax Number	:

Provider Business Practice Location Address
First Line	:	2331 GUS THOMASSON RD
Second Line	:	SUITE 137
City	:	DALLAS
State	:	TX
Zip	:	75228-3039
Country	:	US
Telephone Number	:	214-321-1323
Fax Number	:	214-321-1326

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. DEBORAH C UGWA
Credential	:
Telephone Number	:	214-321-1323

Provider Enumeration Date	:	09/05/2005
Last Update Date	:	12/21/2012

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Directions to “DESTINYS HOME HEALTH CARE ” Practice Location

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