Destination Therapy

LBN: Destination Life Llc-S
Destination Therapy 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 9 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Ambulatory Health Care Facilities / Developmental Disabilities, Ambulatory Health Care Facilities / Hearing and Speech, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Rehabilitation, Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), Laboratories / Clinical Medical Laboratory, Suppliers / Parenteral & Enteral Nutrition. Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) is the primary health care specialty. Destination Life Llc-S 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
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Ambulatory Health Care Facilities / Hearing and Speech 261QH0700X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X
Laboratories / Clinical Medical Laboratory 291U00000X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X

Profile Details

NPI number 1831712413
LBN Legal business name Destination Life Llc-S
DBA Doing business as Destination Therapy
Authorized official Carr, Zemelda D.
Entity Organization
Organization subpart 1 Yes
Enumeration date May 18th, 2020
Last updated Jul 30th, 2021 - about 3 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 1831712413 NPPES
Texas Other 45D2207166 CLIA
Texas Other 482228 CLIA
Texas MEDICAID 404951201 CLIA
Texas Other 25D2200016 CLIA
Texas Other 567960000 CLIA

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