DESTINY ENTERPRISES LLC NPI 1417271669

NPI Information

  • NPI: 1417271669
  • Provider Name: DESTINY ENTERPRISES, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: A TOUCH OF HOME NORTH
  • Address: 915 21ST ST NW
    BEMIDJI, MN
    ZIP 56601
  • Phone: (218) 444-5878

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NPI Details

DESTINY ENTERPRISES, LLC is an assisted living facility in Bemidji, MN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. DESTINY ENTERPRISES, LLC NPI is 1417271669. The provider is registered as an organization entity type.
The provider Is Doing Business As A Touch Of Home North.

The provider's business location address is:

915 21ST ST NW
BEMIDJI, MN
ZIP 56601-443
Phone: (218) 444-5878
Fax: (218) 444-5114

The provider's authorized official is Shawn Michelle Vanantwerpen .
The authorized official title is Owner/operator and has the following contact phone number (218) 444-5878.

The enumeration date for this NPI number is 3/17/2010 and was last updated on 3/17/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility343410MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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