MEDICARE: LIFE GOALS HOME HEALTH AND THERAPY CONCIERGE LLC

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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1790634376
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFE GOALS HOME HEALTH AND THERAPY CONCIERGE LLC

Provider Business Mailing Address
First Line	:	1031 ARIES ST
Second Line	:
City	:	CEDAR HILL
State	:	TX
Zip	:	75104-3263
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1031 ARIES ST
Second Line	:
City	:	CEDAR HILL
State	:	TX
Zip	:	75104-3263
Country	:	US
Telephone Number	:	469-970-7023
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SIDNEY OWENS II
Credential	:	DPT
Telephone Number	:	469-970-7023

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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Directions to “LIFE GOALS HOME HEALTH AND THERAPY CONCIERGE LLC ” Practice Location

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