DESTINY'S FULFILLED L.L.C. NPI 1891764882

NPI Information

NPI: 1891764882
Provider Name: DESTINY'S FULFILLED L.L.C.
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
1908 CHEVELLE DR
RICHMOND, VA
ZIP 23235
Phone: (804) 276-1702
Get Directions

DESTINY'S FULFILLED L.L.C. is a community based residential treatment facility, intellectual and/or developmental disabilities in Richmond, VA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. DESTINY'S FULFILLED L.L.C. NPI is 1891764882. The provider is registered as an organization entity type.

The provider's business location address is:

1908 CHEVELLE DR
RICHMOND, VA
ZIP 23235-641
Phone: (804) 276-1702
Fax: (804) 276-6051

The provider's authorized official is Stacey Michelle Cook .
The authorized official title is Chief Exectuive Officer and has the following contact phone number (804) 276-1702.

The enumeration date for this NPI number is 3/14/2006 and was last updated on 8/22/2020.

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
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		320-2006	VIRGINIA	Yes

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »