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Destiny Life Center Cog

In Home Supportive Care Agency in Fort Wayne, IN · enumerated 2018 · authorized official Patricia Jimerson, Executive Director.

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

National Provider Identifier

1679044960

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Registry record

Entity type Organization (Type 2)
Legal business name Destiny Life Center Cog
Parent organization General Assembly of the Church of God
Practice address 518 E Jefferson Blvd, Fort Wayne, IN, 46802
Phone (260) 557-6183
Enumeration date Dec 11, 2018
Last updated in NPPES Dec 11, 2018

Taxonomy & classification

174200000X Meals Provider Other Service Providers Secondary
177F00000X Lodging Provider Other Service Providers Secondary
251S00000X Community/Behavioral Health Agency Agencies Secondary
253Z00000X In Home Supportive Care Agency Agencies Primary

Authorized official

Name Patricia Jimerson
Title Executive Director
Phone (260) 557-6183

Other identifiers

Identifier Type State Issuer
05 Medicaid IN -
35257218 Other IN RECOVERY WORKS HOUSING

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

What is the NPI number for Destiny Life Center Cog?
The NPI for Destiny Life Center Cog is 1679044960, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Destiny Life Center Cog?
NPPES lists Patricia Jimerson (Executive Director) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-12-11.