NEW DESTINY PERSONAL HOME NPI 1558622423

NPI Information

  • NPI: 1558622423
  • Provider Name: NEW DESTINY PERSONAL HOME
  • Classification: Respite Care - 385HR2055X
  • Specialization: Respite Care, Mental Illness, Child
  • Entity Type: Organization
  • Doing Business As: NEW DESTINY PERSONAL CARE HOME ONE INC
  • Address: 308 LONGWOOD DR
    STATESBORO, GA
    ZIP 30461
  • Phone: (912) 225-6068

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NPI Details

NEW DESTINY PERSONAL HOME is a respite care and mental illness and child respite care in Statesboro, GA. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. NEW DESTINY PERSONAL HOME NPI is 1558622423. The provider is registered as an organization entity type.
The provider Is Doing Business As New Destiny Personal Care Home One Inc.

The provider's business location address is:

308 LONGWOOD DR
STATESBORO, GA
ZIP 30461-828
Phone: (912) 225-6068
Fax: (912) 225-6068

The provider's authorized official is Emmett George Sherriff .
The authorized official title is Administrator and has the following contact phone number (912) 225-6068.

The enumeration date for this NPI number is 6/6/2012 and was last updated on 6/6/2012.

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
1385HR2055XRespite CareRespite Care, Mental Illness, Child385HR2055XGEORGIAYes

What is NPI?

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

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