Destination Life Llc-s is a
Clinic/center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf) based in Arlington, Texas. Destination Life Llc-s is licensed to practice in * (Not Available) (license number ) and their current practice location is
2001 Se Green Oaks Blvd Ste 130, Arlington, Texas. It can be reached at their office (for appointments etc.) via phone at
(817) 473-1312.
NPI number for Destination Life Llc-s is 1831712413 and their current mailing address is 2001 Se Green Oaks Blvd Ste 130, Arlington, Texas. Destination Life Llc-s
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1831712413.
Healthcare Provider's Profile
| Full Name | Destination Life Llc-s |
|---|
| Type | Facility |
|---|
| Speciality | Clinic/center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf) |
|---|
| Location | 2001 Se Green Oaks Blvd Ste 130, Arlington, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1831712413
- Provider Enumeration Date: 05/18/2020
- Last Update Date: 07/30/2021
Medical Identifiers
Medical identifiers for Destination Life Llc-s such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831712413 | NPI | - | NPPES |
| 45D2207166 | Other | TX | CLIA |
| 482228 | Other | TX | PTAN |
| 404951201 | Medicaid | TX | |
| 25D2200016 | Other | MS | CLIA MS |
| 567960000 | Other | TX | THERAPY CLINIC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 261QD1600X | Clinic/center - Developmental Disabilities | (* (Not Available)) | Secondary |
| 261QH0700X | Clinic/center - Hearing And Speech | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QR0400X | Clinic/center - Rehabilitation | (* (Not Available)) | Secondary |
| 291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Secondary |
| 332BP3500X | Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition | (* (Not Available)) | Secondary |
| 261QR0401X | Clinic/center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf) | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Destination Life Llc-s is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Destination Life Llc-s
2001 Se Green Oaks Blvd Ste 130,
Arlington, TX 76018-0952
Ph: (817) 473-1312 | Destination Life Llc-s
2001 Se Green Oaks Blvd Ste 130,
Arlington, TX 76018-0952
Ph: (817) 473-1312 |
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