New Destiny Healing LLC
NPI 1821794454 · Substance Abuse Rehabilitation Facility · San Tan Valley, AZ
New Destiny Healing LLC is a Substance Abuse Rehabilitation Facility organization in San Tan Valley, AZ (NPI 1821794454).
Provider details
- NPI number
- 1821794454
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Parent organization
- New Destiny Healing LLC
- Organization subpart
- Yes
- Authorized official
- Jerry Bolanos, Member(626) 710-2595
Specialties & taxonomies
Residential Treatment Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs 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
Mailing address
Registry dates
- Enumerated
- 2023-02-06
- Last updated
- 2026-04-16
- Certified
- 2026-04-16
Frequently asked questions
- What is New Destiny Healing LLC's NPI number?
- New Destiny Healing LLC's National Provider Identifier (NPI) is 1821794454, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is New Destiny Healing LLC?
- New Destiny Healing LLC is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is New Destiny Healing LLC located?
- New Destiny Healing LLC's practice location on file with NPPES is 2011 W Half Moon Cir, San Tan Valley, AZ 85142-4461.
- What is New Destiny Healing LLC's phone number?
- The practice phone number listed in the NPPES registry for New Destiny Healing LLC is (626) 710-2595.
- Who is the authorized official for New Destiny Healing LLC?
- The authorized official listed on New Destiny Healing LLC's NPPES record is Jerry Bolanos, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is New Destiny Healing LLC's NPI active?
- Yes — New Destiny Healing LLC's NPI (1821794454) is active in the NPPES registry as of the last update on 2026-04-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.