Provider Demographics
NPI:1871313023
Name:DESTINE EMBRACE HOME CARE LLC
Entity type:Organization
Organization Name:DESTINE EMBRACE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LATAYAH
Authorized Official - Middle Name:
Authorized Official - Last Name:TOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-535-5404
Mailing Address - Street 1:1240 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:MONESSEN
Mailing Address - State:PA
Mailing Address - Zip Code:15062-1011
Mailing Address - Country:US
Mailing Address - Phone:724-237-0722
Mailing Address - Fax:
Practice Address - Street 1:1240 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:MONESSEN
Practice Address - State:PA
Practice Address - Zip Code:15062-1011
Practice Address - Country:US
Practice Address - Phone:724-237-0722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-14
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health