DESTINATION LIFE LLC NPI 1114328416

NPI Information

  • NPI: 1114328416
  • Provider Name: DESTINATION LIFE LLC
  • Classification: Home Health - 251E00000X
  • Entity Type: Organization
  • Address: 2001 SE GREEN OAKS BLVD STE 130
    ARLINGTON, TX
    ZIP 76018
  • Phone: (817) 473-1312

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NPI Details

DESTINATION LIFE LLC is a home health in Arlington, TX. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. DESTINATION LIFE LLC NPI is 1114328416. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2001 SE GREEN OAKS BLVD STE 130
ARLINGTON, TX
ZIP 76018-952
Phone: (817) 473-1312
Fax: (866) 990-2813

The provider's authorized official is Zemelda D. Carr .
The authorized official title is Adm And Auth Rep and has the following contact phone number (817) 473-1312.

The enumeration date for this NPI number is 9/6/2014 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseNo
2224Z00000XOccupational Therapy AssistantNo
3225X00000XOccupational TherapistNo
4251E00000XHome HealthTEXASNo
5253Z00000XIn Home Supportive CareNo
6305S00000XPoint of ServiceNo
7314000000XSkilled Nursing FacilityNo
8332B00000XDurable Medical Equipment & Medical SuppliesNo
93747P1801XTechnicianPersonal Care AttendantNo
10374U00000XHome Health AideNo
11251E00000XHome HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1365911201MEDICAIDTEXAS
2567960000OTHERTEXASFACILITY LICENSE
37760000001OTHERTEXASDME
41114328416OTHERTEXASNIP
5404951202MEDICAIDTEXAS
6324611YS3BOTHERTEXASGROUP MEDICARE
74049512MEDICAIDTEXAS
8482228OTHERTEXASMEDICARE PTAN
9567960000OTHERTEXASLICENSE
10365911202MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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