DESTINY MANOR
NPI 1356992978
Assisted Living Facility in Arcola, MS

Active since September 25, 2019
104 MARTIN LUTHER KING BLVD, ARCOLA, MS 38722(662) 827-7500(662) 827-7347 Get Directions Write a Review

NPPES record last updated: September 25, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Destiny Manor NPPES

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

DESTINY MANOR (NPI 1356992978) is a healthcare organization registered as an assisted living facility in Arcola, Mississippi and active in the NPI registry since September 2019. The organization lists Maxine D Harris, Manager, as its authorized official.

NPPES Registry Identity

NPI1356992978
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameDESTINY MANOR
Location Address104 MARTIN LUTHER KING BLVDArcola, MS 38722
Mailing AddressPo Box 383Arcola, MS 38722-0383 · (662) 378-7962 · Fax (662) 827-7347
Fax(662) 827-7347
Organization SubpartNo
Authorized OfficialMaxine D HarrisManager · (662) 378-7962
Enumeration DateSeptember 25, 2019
NPI 1356992978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
104 MARTIN LUTHER KING BLVD, Arcola, MS 38722

Other Providers at the Same Location NPPES

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

Assisted Living Facility
104 MARTIN LUTHER KING BLVD
ARCOLA, MS 38722

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Destiny Manor's NPI number?

The NPI number for Destiny Manor is 1356992978. It was assigned to this organization in the NPPES registry on September 25, 2019.

Where is Destiny Manor located?

Destiny Manor is located at 104 Martin Luther King Blvd, Arcola, MS 38722. The listed phone number is (662) 827-7500.

What is Destiny Manor's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Destiny Manor was last updated on September 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.