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Organization
DESTINATION LIFE LLC-S
Active
Organization
DESTINATION LIFE LLC-S
Active
Parent organization
DESTINATION LIFE LLC-S
Organization subpart
Yes
Provider details
NPI number
Legal business name
DESTINATION LIFE LLC-S
Authorized official
ZEMELDA D. CARR OTR/L, MOT, CST,CLT (ADM AND AUTH REP)
(817) 266-4185
Entity
Organization
Contact information
Practice address
1121 DEBBIE LN UNIT 806B, ARLINGTON, TX 76002-5081
(817) 266-4185
(817) 779-8012
Mailing address
1121 DEBBIE LN UNIT 806B, ARLINGTON, TX 76002-5081
(817) 266-4185
(817) 779-8012
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
224Z00000X
Occupational Therapy Assistant
—
NULL
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
251E00000X
Home Health Agency
Primary
—
NULL
251E00000X
Home Health Agency
—
TX
253Z00000X
In Home Supportive Care Agency
—
NULL
305S00000X
Point of Service
—
NULL
314000000X
Skilled Nursing Facility
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
Other
Enumeration date
09/06/2014
Last updated
10/13/2026
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