OrganizationActive
Destined for Change LLC
NPI 1720593627 · Homemaker · Tampa, FL
Destined for Change LLC is a Homemaker organization in Tampa, FL (NPI 1720593627).
Provider details
- NPI number
- 1720593627
- Entity type
- Organization
- Primary specialty
- HomemakerNursing Service Related Providers
- Organization subpart
- No
- Authorized official
- Chavarra Simmons, Executive Director(813) 867-0053
Specialties & taxonomies
Nursing Service Related Providers
- In Home Supportive Care Agency253Z00000X
Agencies
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
2094 W Busch Blvd
Tampa, FL 33612-7568
Phone: (813) 867-0053
Fax: (877) 349-6369
Street-level locationGet directions
Mailing address
2094 W Busch Blvd
Tampa, FL 33612-7568
Additional practice locations (1)
- 401 E Jackson St Ste 2340Tampa, FL 33602-5226Phone: (813) 867-0053Fax: (813) 867-0054
Registry dates
- Enumerated
- 2017-12-13
- Last updated
- 2021-09-07
- Certified
- 2021-09-07
Frequently asked questions
- What is Destined for Change LLC's NPI number?
- Destined for Change LLC's National Provider Identifier (NPI) is 1720593627, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Destined for Change LLC?
- Destined for Change LLC is classified in the NPPES registry as Homemaker (Nursing Service Related Providers).
- Where is Destined for Change LLC located?
- Destined for Change LLC's practice location on file with NPPES is 2094 W Busch Blvd, Tampa, FL 33612-7568.
- What is Destined for Change LLC's phone number?
- The practice phone number listed in the NPPES registry for Destined for Change LLC is (813) 867-0053.
- Who is the authorized official for Destined for Change LLC?
- The authorized official listed on Destined for Change LLC's NPPES record is Chavarra Simmons, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Destined for Change LLC's NPI active?
- Yes — Destined for Change LLC's NPI (1720593627) is active in the NPPES registry as of the last update on 2021-09-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.