Provider Demographics
NPI:1972758092
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 1:1425 GREENWAY DR
Mailing Address - Street 2:STE 300
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-2447
Mailing Address - Country:US
Mailing Address - Phone:469-499-2957
Mailing Address - Fax:469-499-2806
Practice Address - Street 1:1100 AIRPORT FWY
Practice Address - Street 2:STE 203
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-6667
Practice Address - Country:US
Practice Address - Phone:817-399-1918
Practice Address - Fax:817-399-1921
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOTAL SLEEP HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-11-18
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA4175040001Medicare NSC
TX4175040008Medicare NSC