Provider Demographics
NPI:1285926949
Name:DESTINY HEALTHCARE SERVICES, INC.
Entity type:Organization
Organization Name:DESTINY HEALTHCARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:
Authorized Official - Last Name:NAJAMUDDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-450-1920
Mailing Address - Street 1:10031 W ROOSEVELT RD STE 100
Mailing Address - Street 2:
Mailing Address - City:WESTCHESTER
Mailing Address - State:IL
Mailing Address - Zip Code:60154-2669
Mailing Address - Country:US
Mailing Address - Phone:708-450-1920
Mailing Address - Fax:708-450-1921
Practice Address - Street 1:10031 W ROOSEVELT RD STE 100
Practice Address - Street 2:
Practice Address - City:WESTCHESTER
Practice Address - State:IL
Practice Address - Zip Code:60154-2669
Practice Address - Country:US
Practice Address - Phone:708-450-1920
Practice Address - Fax:708-450-1921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-12
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011943251E00000X
IL3001648253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care