New Destiny Health

LBN: New Destiny Health Llc
New Destiny Health is an health care organization with primary practice located at 1072 E Dragon Fly Rd , Queen Creek AZ 85143. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Agencies / Community/Behavioral Health is the primary health care specialty. New Destiny Health Llc can be contacted via phone (480) 522-0566, or through Bolanos, Jeff via phone (480) 522-0566.

Contact Information

Primary practice address
1072 E Dragon Fly Rd Queen Creek AZ 85143
Phone: (480) 522-0566
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bolanos, Jeff Doctor of Medicine (MD)
Phone: (480) 522-0566

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1457998551
LBN Legal business name New Destiny Health Llc
DBA Doing business as New Destiny Health
Authorized official Bolanos, Jeff Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2019
Last updated Dec 7th, 2020 - about 4 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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