Destination Life

  • 1114328416 NPI Number
  • |
  • Actived: 5 years ago
  • |
According to our database, the NPI number for Destination Life is 1114328416 and activated since 5 years ago. Destination Life is an Organization provider specializes in Rehabilitation Practitioner. The provider information was last updated on 01/05/2020.

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Overview of Destination Life

  • NPI number: 1477193027
  • Provider type: Organization
  • Active since: 09/06/2014
  • Last updated: 01/05/2020

Primary Scrop of Practice

  • Taxonomy Code: 225400000X
  • Specialty: Rehabilitation Practitioner
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 1759 Broad Park Cir S Ste 113
    Mansfield, TX 76063
  • Phone: 817-473-1312
  • Fax: 866-990-2813

Provider Practice Location

  • Address: 1759 Broad Park Cir S
    113
    Mansfield, TX 76063
  • Phone: 817-473-1312
  • Fax: 844-812-4427

Authorized Official

  • Name: Zemelda D. Carr
  • Position/Title: Adm And Auth Rep
  • Telephone Number: 817-473-1312

Scope of Practice

  • Taxonomy Code: 225400000X
  • Specialty: Rehabilitation Practitioner
  • License Number:
  • License State:
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 019328
  • Identifier Type: Other
  • Identifier State: TX
  • Issuer: HOME HEALTHCARE

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Destination Life?
  • A: The npi number for Destination Life is 1114328416.
  • Q: What are Destination Life's specialties?
  • A: Destination Life's specialties are Rehabilitation Practitioner and different specialities.
  • Q: Where is Destination Life business practice location?
  • A: Destination Life business practice location is 1759 Broad Park Cir S, Mansfield, TX 76063.
  • Q: How to contact Destination Life?
  • A: You can contact Destination Life via 817-473-1312.
  • Q: What is the authorized official for Destination Life?
  • A: The authorized office name is Zemelda D. Carr with position/title is Adm And Auth Rep and you can reach the authorized official via phone number 8174731312.