MEDICARE: LIFETRUST HOME HEALTH & CONSULTING PLLC

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1992541353
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFETRUST HOME HEALTH & CONSULTING PLLC

Provider Business Mailing Address
First Line	:	7819 SKYLARK HEIGHTS LN
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-3078
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14639 BEECHNUT ST STE A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-4491
Country	:	US
Telephone Number	:	281-799-7808
Fax Number	:	888-518-5448

Authorized Official
Title or Position	:	OWNER, PRESIDENT, ADMIN, DON
Name	:	MR. ANTHONY OSAGIE
Credential	:
Telephone Number	:	281-799-7808

Provider Enumeration Date	:	07/05/2024
Last Update Date	:	10/17/2024

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