Provider Demographics
NPI:1063670370
Name:TRUSTED LIFE CARE INC
Entity Type:Organization
Organization Name:TRUSTED LIFE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:CRABTREE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-499-2857
Mailing Address - Street 1:13284 POND SPRINGS RD
Mailing Address - Street 2:STE 302
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78729-7177
Mailing Address - Country:US
Mailing Address - Phone:512-482-7150
Mailing Address - Fax:512-485-7782
Practice Address - Street 1:13284 POND SPRINGS RD
Practice Address - Street 2:STE 303
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78729-7177
Practice Address - Country:US
Practice Address - Phone:512-485-7150
Practice Address - Fax:512-485-7782
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOTAL SLEEP HOLDINGS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-23
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA4175040001Medicare NSC