# DESTINATION LIFE LLC-S

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DESTINATION LIFE LLC-S
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1114328416
- **Legal business name:** DESTINATION LIFE LLC-S
- **Authorized official:** ZEMELDA D. CARR OTR/L, MOT, CST,CLT (ADM AND AUTH REP)
- **Authorized official phone:** (817) 266-4185

## Contact information

- **Practice address:** 1121 DEBBIE LN UNIT 806B, ARLINGTON, TX 76002-5081
- **Practice address phone:** (817) 266-4185
- **Practice address fax:** (817) 779-8012
- **Mailing address:** 1121 DEBBIE LN UNIT 806B, ARLINGTON, TX 76002-5081
- **Mailing address phone:** (817) 266-4185
- **Mailing address fax:** (817) 779-8012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 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