MEDICARE: TRUSTED LIFE CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1972758092
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUSTED LIFE CARE, INC.

Provider Business Mailing Address
First Line	:	1425 GREENWAY DR
Second Line	:	STE 300
City	:	IRVING
State	:	TX
Zip	:	75038-2447
Country	:	US
Telephone Number	:	469-499-2957
Fax Number	:	469-499-2806

Provider Business Practice Location Address
First Line	:	1100 AIRPORT FWY
Second Line	:	STE 203
City	:	BEDFORD
State	:	TX
Zip	:	76022-6667
Country	:	US
Telephone Number	:	817-399-1918
Fax Number	:	817-399-1921

Authorized Official
Title or Position	:	CEO
Name	:	TERRY L CRABTREE
Credential	:
Telephone Number	:	469-499-2857

Provider Enumeration Date	:	11/18/2008
Last Update Date	:	04/14/2009

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