DESTINED FOR CARE AGENCY, LLC - NPI 1134920069

Q: What is Destined For Care Agency, LLC's NPI number?

The NPI number for Destined For Care Agency, LLC is 1134920069. It was assigned to this organization in the NPPES registry on March 24, 2025.

Q: What is Destined For Care Agency, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

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About Destined For Care Agency, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESTINED FOR CARE AGENCY, LLC (NPI 1134920069) is a healthcare organization registered as a home health in Phoenix, Arizona and active in the NPI registry since March 2025. The organization lists Sandrisha Ganison, Ceo, as its authorized official.

NPPES Registry Identity

NPI1134920069

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameDESTINED FOR CARE AGENCY, LLC

Location Address4539 N 22ND ST STE RPhoenix, AZ 85016-4639

Mailing Address4539 N 22nd St Ste RPhoenix, AZ 85016-4639 · (602) 767-7112

Phone(602) 767-7112

Organization SubpartNo

Authorized OfficialSandrisha GanisonCeo · (972) 922-1665

Enumeration DateMarch 24, 2025

NPPES CertifiedMarch 24, 2025

✔ NPI 1134920069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X

Also ListedRespite CareTaxonomy 385H00000X

4539 N 22ND ST STE R, Phoenix, AZ 85016

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRIME VIRTUAL CARE CENTER LLC

Clinic/Center (Primary Care)