NPI 1679440663 · live from the CMS NPI Registry
Destiny Hands Medical Staffing
Family Medicine, Geriatric Medicine in Phoenix, AZ. National Provider Identifier 1679440663, active.
NPI record
| NPI | 1679440663 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Geriatric Medicine 207QG0300X |
| Practice location | 2625 E Greenway Pkwy Ste 289, Phoenix, AZ 85032 |
| Practice phone | 520-652-1840 |
| Mailing address | 16772 W Bell Rd, 110298, Surprise, AZ 85374 |
| Enumerated | October 22, 2025 |
| Last updated | October 22, 2025 |
| Authorized official | Azzure Sanders, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Case Management | 163WC0400X | — |
| Registered Nurse, Home Health | 163WH0200X | — |
| Registered Nurse, Hospice | 163WH1000X | — |
| Licensed Practical Nurse | 164W00000X | — |
| Case Manager/Care Coordinator | 171M00000X | — |
| Occupational Therapy Assistant | 224Z00000X | — |
| Physical Therapist | 225100000X | — |
| Technician, Personal Care Attendant | 3747P1801X | — |
| Home Health Aide | 374U00000X | — |
| Nurse's Aide | 376K00000X | — |
| Social Worker | 104100000X | — |
| Dietitian, Registered | 133V00000X | — |
| Registered Nurse | 163W00000X | — |
| Registered Nurse, Administrator | 163WA2000X | — |
| Family Medicine, Geriatric Medicine primary | 207QG0300X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.