Destiny Incorporated

LBN: Destiny Incorporated
Destiny Incorporated is an health care organization with primary practice located at 1339 S Pueblo Blvd , Pueblo CO 81005. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Destiny Incorporated can be contacted via phone (719) 564-0163, or through Mcclure, Jonna Kay via phone (719) 564-0163.

Contact Information

Primary practice address
1339 S Pueblo Blvd Pueblo CO 81005
Phone: (719) 564-0163
Fax: (719) 564-0193
Website:
Map and Directions
Authorized official contact:
Name: Mcclure, Jonna Kay Bachelor of Social Work (BSW)
Phone: (719) 564-0163

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X Colorado

Profile Details

NPI number 1629376603
LBN Legal business name Destiny Incorporated
DBA Doing business as
Authorized official Mcclure, Jonna Kay Bachelor of Social Work (BSW)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2011
Last updated Dec 13th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629376603 NPPES
Colorado MEDICAID 99500221

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