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Destiny Life Center Cog
In Home Supportive Care Agency in Fort Wayne, Indiana
NPI 1679044960

Destiny Life Center Cog is a In Home Supportive Care Agency based in Fort Wayne, IN. Destiny Life Center Cog practices in Fort Wayne, IN. The NPI Number for Destiny Life Center Cog is 1679044960 and holds a License No. (Indiana).

The current practice location address for Destiny Life Center Cog is 518 E Jefferson Blvd, Fort Wayne, IN and can be reached out via phone at 260-557-6183.

Location: 518 E Jefferson Blvd, Fort Wayne, IN, 46802-3204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679044960
Provider Name
Destiny Life Center Cog
Credential
Provider Entity Type
Organization
Address
518 E Jefferson Blvd, Fort Wayne, IN, 46802-3204
Phone Number
260-557-6183
Fax Number
Provider Enumeration Date
12/11/2018
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
05 05 IN
35257218 01 IN RECOVERY WORKS HOUSING
institution
Provider Business Practice Location Address Details
Address
518 E Jefferson Blvd
City
Fort Wayne
State
Indiana
Zip
46802-3204
Phone Number
260-557-6183
Fax Number
person
Provider Business Mailing Address Details
Address
518 E Jefferson Blvd
City
Fort Wayne
State
Indiana
Zip
46802-3204
Phone Number
260-557-6183
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Meals
Speciality
-
Taxonomy
174200000X
License No.
()
Definition
A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Lodging
Speciality
-
Taxonomy
177F00000X
License No.
()
Definition
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
person
Provider's Taxonomy Details 3
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 4
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
()
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.
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