DESTINY ROSE RESIDENTIAL CARE FACILITY
NPI 1386920536
Assisted Living Facility in Dallas, TX

Q: What is Destiny Rose Residential Care Facility's specialty?

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

Active since November 01, 2011

1620 GLEN AVE, DALLAS, TX 75216(214) 335-0627(214) 941-0308 Get Directions Write a Review

NPPES record last updated: September 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Destiny Rose Residential Care Facility NPPES

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

DESTINY ROSE RESIDENTIAL CARE FACILITY (NPI 1386920536) is a healthcare organization registered as an assisted living facility in Dallas, Texas and active in the NPI registry since November 2011. The organization lists Toni Martin-moore, Owner, as its authorized official.

NPPES Registry Identity

NPI1386920536

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameDESTINY ROSE RESIDENTIAL CARE FACILITY

Location Address1620 GLEN AVEDallas, TX 75216-1727

Mailing AddressPo Box 543174Grand Prairie, TX 75054-3174 · (214) 778-7228 · Fax (214) 377-5009

Phone(214) 335-0627

Fax(214) 941-0308

Organization SubpartNo

Authorized OfficialToni Martin-mooreOwner · (214) 778-7228

Enumeration DateNovember 1, 2011

Last NPPES UpdateSeptember 21, 2021

NPPES CertifiedSeptember 21, 2021

✔ NPI 1386920536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in TX · 00000000000000000000

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.

1620 GLEN AVE, Dallas, TX 75216

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Other Providers at the Same Location NPPES

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

DESTINY ROSE HEALTHCARE SERVICES INC

Home Health

1620 GLEN AVE
DALLAS, TX 75216

Dallas County (214) 778-7228

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 Rose Residential Care Facility's NPI number?

The NPI number for Destiny Rose Residential Care Facility is 1386920536. It was assigned to this organization in the NPPES registry on November 1, 2011.

Where is Destiny Rose Residential Care Facility located?

Destiny Rose Residential Care Facility is located at 1620 Glen Ave, Dallas, TX 75216. The listed phone number is (214) 335-0627.

What is Destiny Rose Residential Care Facility'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 Rose Residential Care Facility was last updated on September 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.