Destination Life Llc

LBN: Destination Life Llc
Destination Life Llc is an health care organization with primary practice located at 2001 Se Green Oaks Blvd Ste 130 , Arlington TX 76018-0952. The organization recently has 10 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Agencies / Home Health, Agencies / In Home Supportive Care, Managed Care Organizations / Point of Service, Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Durable Medical Equipment & Medical Supplies, Nursing Service Related Providers / Personal Care Attendant, Nursing Service Related Providers / Home Health Aide. Agencies / Home Health is the primary health care specialty. Destination Life Llc can be contacted via phone (817) 473-1312, or through Carr, Zemelda D. via phone (817) 473-1312.

Contact Information

Primary practice address
2001 Se Green Oaks Blvd Ste 130 Arlington TX 76018-0952
Phone: (817) 473-1312
Fax: (866) 990-2813
Website:
Map and Directions
Authorized official contact:
Name: Carr, Zemelda D.
Phone: (817) 473-1312

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Agencies / Home Health 251E00000X Texas
Agencies / Home Health 251E00000X
Agencies / In Home Supportive Care 253Z00000X
Managed Care Organizations / Point of Service 305S00000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1114328416
LBN Legal business name Destination Life Llc
DBA Doing business as
Authorized official Carr, Zemelda D.
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 6th, 2014
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114328416 NPPES
Texas Other 1114328416 NIP
Texas Other 567960000 NIP
Texas MEDICAID 404951202 NIP
Texas Other 482228 NIP
Texas Other 324611YS3B NIP
Texas MEDICAID 4049512 NIP
Texas MEDICAID 365911201 NIP
Texas Other 567960000 NIP
Texas Other 7760000001 NIP
Texas MEDICAID 365911202 NIP

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