Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Destiny Life Center Cog

Organization Meals Provider · NPI 1679044960

Destiny Life Center Cog is a Meals Provider in Fort Wayne, Indiana. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
4

Practice location Address checks out

518 E Jefferson Blvd
Fort Wayne, IN 46802-3204
Phone: (260) 557-6183
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X
Meals Provider Taxonomy 174200000X
Lodging Provider Taxonomy 177F00000X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1679044960
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGeneral Assembly of the Church of God
Authorized official Patricia Jimerson — Executive Director · (260) 557-6183
Other names Victory House For Women; Victory House For Women
NPI enumeratedDecember 11, 2018
Last updated in NPPESDecember 11, 2018
Mailing address518 E Jefferson Blvd, Fort Wayne, IN 46802-3204

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