DESTINY PLACE LLC (NPI# 1346398914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346398914 |
| Entity Type | Organization |
| Organization Name | DESTINY PLACE LLC |
| Practice Address |
5319 Sentry Ln Woodbridge VA 22193-3431 |
| Mailing Address |
17964 Swans Creek Ln Dumfries VA 22026-4526 |
| Practice Telephone | 7033713421 |
| Mailing Telephone | 7033713421 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DEBORAH COLEMAN ROUNDTREE (CEO) |
| Authorized Official Telephone | 7033713421 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 251C00000X | Day Training, Developmentally Disabled Services | 570 | VA | Agencies |
| X | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 570 | VA | Residential Treatment Facilities |
| Street Address |
5319 SENTRY LN |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22193-3431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083111702 | Bethiana Magallanes White | Speech-Language Pathologist | 14450 Brook Dr, Woodbridge, VA 22193 | 2018-04-09 |
| 1982111449 | Frances Davis | Social Worker | 4196 Merchant Plaza Apt 632, Woodbridge, VA 22193 | 2018-01-05 |
| 1427421627 | Woodbridge Therapy Group LLC | Counselor | 12721 Darby Brooke Ct., Suite 102, Woodbridge, VA 22193 | 2015-11-10 |
| 1972981090 | Lifeline Home Health Inc | Community/Behavioral Health | 4309 Kenwood Dr, Woodbridge, VA 22193 | 2015-05-08 |
| 1588056139 | Lifelong Good Health LLC | Clinic/Center | 5721 Rhode Isalnd Drive, Woodbridge, VA 22193 | 2015-02-19 |
| 1639560378 | Tara Devi Smith | Psychologist | 13855 Hedgewood Drive, #245, Woodbridge, VA 22193 | 2015-02-17 |
| 1710396114 | Allanna Harrison | Speech-Language Pathologist | 15792 Beau Ridge Dr., Woodbridge, VA 22193 | 2014-08-11 |
| 1659788909 | Lifelong Good Health | Clinic/Center | 5721 Rhode Island Dr, Woodbridge, VA 22193 | 2014-07-18 |
| 1952731960 | Corrieann Marie Avila | Social Worker | 12721 Darby Brooke Court, Suite 102, Woodbridge, VA 22193 | 2013-11-13 |
| 1972881019 | Ockhee Jung | Acupuncturist | 14174 Rizdon Ct, Woodbridge, VA 22193 | 2011-07-22 |
| Find all providers in zip 22193 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750877452 | Angel Gate Health Services, LLC | Day Training, Developmentally Disabled Services | 12403 Hatchway Ct, Woodbridge, VA 22192-2114 | 2018-07-05 |
| 1871043323 | Tutoring By Design | Day Training, Developmentally Disabled Services | 4713 Dane Ridge Cir, Woodbridge, VA 22193-6519 | 2016-10-08 |
| 1316397565 | Dedicated Care Health Services Inc | Day Training, Developmentally Disabled Services | 5571 Saint Charles Dr, Woodbridge, VA 22193-3537 | 2016-06-20 |
| 1265753875 | Lifting As We Climb Community Services, LLC | Day Training, Developmentally Disabled Services | 3058 Ps Business Center Drive, Woodbridge, VA 22192 | 2010-06-17 |
| 1780903112 | Volunteers of America Chesapeake Inc. | Day Training, Developmentally Disabled Services | 14381 Hereford Rd, Woodbridge, VA 22193-2107 | 2010-05-25 |
| 1851416523 | Jireh Place LLC | Day Training, Developmentally Disabled Services | 2250 Scotch Ct, Woodbridge, VA 22191-4414 | 2007-03-20 |
| 1265580831 | Haynesview LLC | Day Training, Developmentally Disabled Services | 4502 Hanover Ct, Woodbridge, VA 22193-4712 | 2007-01-08 |
| 1902461437 | Cadely Care Services | Day Training, Developmentally Disabled Services | 44 Freeman St, Woodbridge, NJ 07095-3430 | 2019-05-09 |
| 1538724950 | Kobe Adesanya | Day Training, Developmentally Disabled Services | 188 Main St, Woodbridge, NJ 07095-1921 | 2019-05-01 |
| 1467542415 | The Arc of Greater Prince William/insight | Day Training, Developmentally Disabled Services | 13505 Hillendale Dr, Woodbridge, VA 22193-4716 | 2006-10-13 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22193 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.