OrganizationActive
Destiny Recovery Center, Inc.
NPI 1164228904 · Substance Abuse Rehabilitation Facility · Ardmore, OK
Provider details
- NPI number
- 1164228904
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Shannon Hall, Executive Director(580) 798-4421
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1004 Republic St
Ardmore, OK 73401-4555
Phone: (580) 798-4421
Street-level locationGet directions
Mailing address
1004 Republic St
Ardmore, OK 73401-4555
Registry dates
- Enumerated
- 2025-02-21
- Last updated
- 2025-06-10
- Certified
- 2025-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.