Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NEW DESTINY HEALING LLC
NPI 1821794454
Clinic/Center - Rehabilitation, Substance Use Disorder in San Tan Valley, AZ

Q: What is New Destiny Healing LLC's NPI number?

The NPI number for New Destiny Healing LLC is 1821794454. It was assigned to this organization in the NPPES registry on February 6, 2023.

Q: What is New Destiny Healing LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Active since February 06, 2023

2011 W HALF MOON CIR, SAN TAN VALLEY, AZ 85142(626) 710-2595 Get Directions Write a Review

NPPES record last updated: September 6, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 6, 2026, Apr 16, 2026, Feb 6, 2023 (3 updates tracked since 2023).

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About New Destiny Healing Llc NPPES

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

NEW DESTINY HEALING LLC (NPI 1821794454) is a healthcare organization registered as a rehabilitation, substance use disorder in San Tan Valley, Arizona and active in the NPI registry since February 2023. The organization lists Jerry Bolanos, Member, as its authorized official.

NPPES Registry Identity

NPI1821794454

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameNEW DESTINY HEALING LLC

Location Address2011 W HALF MOON CIRSan Tan Valley, AZ 85142-4461

Mailing Address530 E Hunt Hwy Ste 103-188San Tan Valley, AZ 85143-6581 · (626) 710-2595

Phone(626) 710-2595

Organization SubpartYes

Authorized OfficialJerry BolanosMember · (626) 710-2595

Enumeration DateFebruary 6, 2023

Last NPPES UpdateSeptember 6, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2026

✔ NPI 1821794454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X

Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X

2011 W HALF MOON CIR, San Tan Valley, AZ 85142

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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 New Destiny Healing LLC's NPI number?

The NPI number for New Destiny Healing LLC is 1821794454. It was assigned to this organization in the NPPES registry on February 6, 2023.

Where is New Destiny Healing LLC located?

New Destiny Healing LLC is located at 2011 W Half Moon Cir, San Tan Valley, AZ 85142. The listed phone number is (626) 710-2595.

What is New Destiny Healing LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for New Destiny Healing LLC was last updated on September 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.