Destination Life Llc-s is a medicare enrolled "Clinic/center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf)" provider in Arlington, Texas. Their current practice location is
2001 Se Green Oaks Blvd Ste 130, Arlington, Texas. You can reach out to their office (for appointments etc.) via phone at
(817) 473-1312.
Destination Life Llc-s is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Destination Life Llc-s
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. 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 | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1831712413
- Provider Enumeration Date: 05/18/2020
- Last Update Date: 07/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 3173820651
- Enrollment ID: O20160329000156
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
enrolled with medicare and thus, if eligible, can 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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