1114328416 DESTINATION LIFE LLC

Home Health Agency

Active

Basic Information

Organization Name
DESTINATION LIFE LLC
Enumeration Date
September 6, 2014
Last Update
July 21, 2022
Authorized Official
ZEMELDA D. CARR
ADM AND 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
Registered Nurse
163W00000X Registered Nurse N/A N/A No
Occupational Therapy Assistant
224Z00000X Occupational Therapy Assistant N/A N/A No
Occupational Therapist
225X00000X Occupational Therapist N/A N/A No
Home Health Agency
251E00000X Home Health N/A TX No
In Home Supportive Care Agency
253Z00000X In Home Supportive Care N/A N/A No
Point of Service
305S00000X Point of Service N/A N/A No
Skilled Nursing Facility
314000000X Skilled Nursing Facility N/A N/A No
Durable Medical Equipment & Medical Supplies
332B00000X Durable Medical Equipment & Medical Supplies N/A N/A No
Personal Care Attendant
Personal Care Attendant
3747P1801X Technician N/A N/A No
Home Health Aide
374U00000X Home Health Aide N/A N/A No
Home Health Agency
251E00000X Home Health N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
1114328416 01 TX NIP
567960000 01 TX FACILITY LICENSE
404951202 05 TX N/A
482228 01 TX MEDICARE PTAN
324611YS3B 01 TX GROUP MEDICARE
4049512 05 TX N/A
365911201 05 TX N/A
567960000 01 TX LICENSE
7760000001 01 TX DME
365911202 05 TX N/A

Additional Practice Locations

1759 Broad Park Cir S Ste 113
Mansfield, TX 760637836

Phone: (817) 473-1312

Fax: (866) 990-2813

Frequently Asked Questions

What is DESTINATION LIFE LLC's NPI number?
DESTINATION LIFE LLC's NPI number is 1114328416.
Which doctor has NPI number 1114328416?
The doctor with NPI number 1114328416 is DESTINATION LIFE LLC.
What is DESTINATION LIFE LLC's practice address?
DESTINATION LIFE LLC'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 practices at 2001 SE GREEN OAKS BLVD STE 130, ARLINGTON, TX, 760180952.
What is DESTINATION LIFE LLC's phone number?
DESTINATION LIFE LLC's phone number is (817) 473-1312.
Who is (817) 473-1312?
(817) 473-1312 is the phone number for DESTINATION LIFE LLC.
What is DESTINATION LIFE LLC's specialty?
DESTINATION LIFE LLC's specialty is Home Health Agency.
What type of doctor is DESTINATION LIFE LLC?
DESTINATION LIFE LLC is a Home Health Agency.
Is DESTINATION LIFE LLC a Home Health?
Yes, DESTINATION LIFE LLC is a Home Health.
Is DESTINATION LIFE LLC still practicing?
Yes, DESTINATION LIFE LLC is currently practicing.
Is DESTINATION LIFE LLC accepting new patients?
DESTINATION LIFE LLC may be accepting new patients. Please call their office at (817) 473-1312 to inquire about availability.
Is NPI 1114328416 still active?
Yes, NPI 1114328416 is currently active.
Where does DESTINATION LIFE LLC practice?
DESTINATION LIFE LLC practices in ARLINGTON, TX.