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DESTINY LIFE CENTER COG
NPI 1679044960
In Home Supportive Care in Fort Wayne, IN

Active since December 11, 2018
518 E JEFFERSON BLVD, FORT WAYNE, IN 46802(260) 557-6183 Get Directions Write a Review

NPPES record last updated: December 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Destiny Life Center Cog NPPES

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

DESTINY LIFE CENTER COG (NPI 1679044960), doing business as Victory House For Women, is a healthcare organization registered as an in home supportive care in Fort Wayne, Indiana and active in the NPI registry since December 2018. The organization lists Patricia Jimerson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1679044960
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameDESTINY LIFE CENTER COG
Location Address518 E JEFFERSON BLVDFort Wayne, IN 46802-3204
Mailing Address518 E Jefferson BlvdFort Wayne, IN 46802-3204 · (260) 557-6183
Phone(260) 557-6183
Organization SubpartYesParent: General Assembly Of The Church Of God
Authorized OfficialPatricia JimersonExecutive Director · (260) 557-6183
Enumeration DateDecember 11, 2018
✔ NPI 1679044960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Also ListedMealsTaxonomy 174200000X
Also ListedLodgingTaxonomy 177F00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
518 E JEFFERSON BLVD, Fort Wayne, IN 46802
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Other Names 1

Doing Business AsVictory House For Women

Other Identifiers 2

Other35257218IN · Recovery Works Housing
Medicaid05IN

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 Life Center Cog's NPI number?

The NPI number for Destiny Life Center Cog is 1679044960. It was assigned to this organization in the NPPES registry on December 11, 2018. The provider is doing business as Victory House for women.

Where is Destiny Life Center Cog located?

Destiny Life Center Cog is located at 518 E Jefferson Blvd, Fort Wayne, IN 46802. The listed phone number is (260) 557-6183.

What is Destiny Life Center Cog's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Destiny Life Center Cog was last updated on December 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.