- Practice location
- 15 Teri Cir Apt 82, Westbrook, ME 04092-3972
- Phone
- 207-317-7828
- Fax
- —
- Last updated
- September 17, 2021
Destiny Residential Care, LLC is a healthcare organization based in Westbrook, ME. Destiny Residential Care, LLC practices in Westbrook, ME. The NPI Number for Destiny Residential Care, LLC is 1104596493. The current practice location address for Destiny Residential Care, LLC is 15 Teri Cir Apt 82, Westbrook, ME 04092-3972 and can be reached out via phone at 207-317-7828.
Provider Profile Details
- NPI Number
- 1104596493
- Provider Name
- Destiny Residential Care, LLC
- Provider Entity Type
- Organization
- Address
- 15 Teri Cir Apt 82, Westbrook, ME 04092-3972
- Phone Number
- 207-317-7828
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- No
- Authorized Official
- Anicet Bakunda · Managing Member · 207-317-7828
- Provider Enumeration Date
- September 17, 2021
- Last Update Date
- September 17, 2021
- Certification Date
- August 27, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15 Teri Cir Apt 82
Westbrook, ME 04092-3972 - City
- Westbrook
- State
- Maine
- Zip
- 04092-3972
- Phone Number
- 207-317-7828
Provider Business Mailing Address Details
- Address
- 15 Teri Cir Apt 82
Westbrook, ME 04092-3972 - City
- Westbrook
- State
- ME
- Zip
- 04092-3972
- Phone Number
- 207-317-7828
License Information
- Taxonomy
- Community/Behavioral Health · 251S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Destiny Residential Care, LLC?
The NPI number of Destiny Residential Care, LLC is 1104596493. It was assigned on September 17, 2021 and is currently active in the NPPES registry.
What is the specialty of Destiny Residential Care, LLC?
Destiny Residential Care, LLC is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X).
Where does Destiny Residential Care, LLC practice?
The practice location is 15 Teri Cir Apt 82, Westbrook, ME 04092-3972. The office can be reached at 207-317-7828 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104596493 directly on the NPPES registry website.