1831712413 DESTINATION LIFE LLC-S
Comprehensive Outpatient Rehabilitation Facility (CORF)
Active
Basic Information
- Organization Name
- DESTINATION LIFE LLC-S
- Enumeration Date
- May 18, 2020
- Last Update
- July 30, 2021
- Authorized Official
- ZEMELDA D. CARR
ADM & AUTH REP
Phone: (817) 473-1312
Practice Location
- Address
- 2001 SE GREEN OAKS BLVD STE 130
ARLINGTON, TX 760180952 - Phone
- (817) 473-1312
- Fax
- (866) 990-2813
Mailing Address
- Address
- 2001 SE GREEN OAKS BLVD STE 130
ARLINGTON, TX 760180952 - Phone
- (817) 473-1312
- Fax
- (866) 990-2813
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Physical Therapist | 225100000X | Physical Therapist | N/A | N/A | No |
| Occupational Therapist | 225X00000X | Occupational Therapist | N/A | N/A | No |
| Developmental Disabilities Clinic/Center Developmental Disabilities | 261QD1600X | Clinic/Center | N/A | N/A | No |
| Hearing and Speech Clinic/Center Hearing and Speech | 261QH0700X | Clinic/Center | N/A | N/A | No |
| Multi-Specialty Clinic/Center Multi-Specialty | 261QM1300X | Clinic/Center | N/A | N/A | No |
| Rehabilitation Clinic/Center Rehabilitation | 261QR0400X | Clinic/Center | N/A | N/A | No |
| Clinical Medical Laboratory | 291U00000X | Clinical Medical Laboratory | N/A | N/A | No |
| Parenteral & Enteral Nutrition Supplies (DME) Parenteral & Enteral Nutrition | 332BP3500X | Durable Medical Equipment & Medical Supplies | N/A | N/A | No |
| Comprehensive Outpatient Rehabilitation Facility (CORF) Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | Clinic/Center | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45D2207166 | 01 | TX | CLIA |
| 482228 | 01 | TX | PTAN |
| 404951201 | 05 | TX | N/A |
| 25D2200016 | 01 | MS | CLIA MS |
| 567960000 | 01 | TX | THERAPY CLINIC |
Additional Practice Locations
1759 Broad Park Cir S Ste 113
Mansfield, TX 760637836
Mansfield, TX 760637836
Phone: (817) 473-1312
Fax: (866) 990-2813
Frequently Asked Questions
What is DESTINATION LIFE LLC-S's NPI number?
DESTINATION LIFE LLC-S's NPI number is 1831712413.
Which doctor has NPI number 1831712413?
The doctor with NPI number 1831712413 is DESTINATION LIFE LLC-S.
What is DESTINATION LIFE LLC-S's practice address?
DESTINATION LIFE LLC-S's practice address is 2001 SE GREEN OAKS BLVD STE 130, ARLINGTON, TX, 760180952.
Which doctor practices at 2001 SE GREEN OAKS BLVD STE 130, ARLINGTON, TX, 760180952?
DESTINATION LIFE LLC-S practices at 2001 SE GREEN OAKS BLVD STE 130, ARLINGTON, TX, 760180952.
What is DESTINATION LIFE LLC-S's phone number?
DESTINATION LIFE LLC-S's phone number is (817) 473-1312.
Who is (817) 473-1312?
(817) 473-1312 is the phone number for DESTINATION LIFE LLC-S.
What is DESTINATION LIFE LLC-S's specialty?
DESTINATION LIFE LLC-S's specialty is Comprehensive Outpatient Rehabilitation Facility (CORF).
What type of doctor is DESTINATION LIFE LLC-S?
DESTINATION LIFE LLC-S is a Comprehensive Outpatient Rehabilitation Facility (CORF).
Is DESTINATION LIFE LLC-S a Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)?
Yes, DESTINATION LIFE LLC-S is a Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF).
Is DESTINATION LIFE LLC-S still practicing?
Yes, DESTINATION LIFE LLC-S is currently practicing.
Is DESTINATION LIFE LLC-S accepting new patients?
DESTINATION LIFE LLC-S may be accepting new patients. Please call their office at (817) 473-1312 to inquire about availability.
Is NPI 1831712413 still active?
Yes, NPI 1831712413 is currently active.
Where does DESTINATION LIFE LLC-S practice?
DESTINATION LIFE LLC-S practices in ARLINGTON, TX.