Provider Demographics
NPI:1750084299
Name:DESTIN COMMUNITY CARE INC
Entity type:Organization
Organization Name:DESTIN COMMUNITY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DE'JA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALMORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-249-9868
Mailing Address - Street 1:PO BOX 1615
Mailing Address - Street 2:
Mailing Address - City:YAZOO CITY
Mailing Address - State:MS
Mailing Address - Zip Code:39194-1615
Mailing Address - Country:US
Mailing Address - Phone:601-249-9868
Mailing Address - Fax:
Practice Address - Street 1:2731 OLD BRANDON RD
Practice Address - Street 2:
Practice Address - City:PEARL
Practice Address - State:MS
Practice Address - Zip Code:39208-4702
Practice Address - Country:US
Practice Address - Phone:601-249-9868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-23
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Yes253Z00000XAgenciesIn Home Supportive Care