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New Destiny Health LLC

Community/Behavioral Health Agency in Queen Creek, AZ · enumerated 2019 · authorized official Jeff Bolanos, Member-Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1457998551

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Registry record

Entity type Organization (Type 2)
Legal business name New Destiny Health LLC
Other name <Unavail>
Practice address 1072 E Dragon Fly Rd, Queen Creek, AZ, 85143
Enumeration date Dec 8, 2019
Last updated in NPPES Dec 7, 2020

Taxonomy & classification

251S00000X Community/Behavioral Health Agency Agencies Primary
320800000X Mental Illness Community Based Residential Treatment Facility Residential Treatment Facilities Secondary

Authorized official

Name Jeff Bolanos
Title Member-Manager

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-12-07. Verify at npiregistry.cms.hhs.gov.
Where is New Destiny Health LLC located?
The practice location on file with NPPES is in Queen Creek, AZ.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-12-07.