# DESTINY ROSE HEALTHCARE SERVICES INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245773993
- **Authorized official:** TONI M MARTIN-MOORE (OWNER)
- **Authorized official phone:** (214) 778-7228

## Contact information

- **Practice address:** 1620 GLEN AVE, DALLAS, TX 75216-1727
- **Practice address phone:** (214) 778-7228
- **Practice address fax:** (214) 377-5009
- **Mailing address:** PO BOX 543174, GRAND PRAIRIE, TX 75054-3174
- **Mailing address phone:** (214) 778-7228
- **Mailing address fax:** (214) 377-5009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/29/2016
- **Last updated:** 11/29/2016