Organization Active NPI

Life Health DME LLC

  • Durable Medical Equipment & Medical Supplies
  • Georgetown, TX
National Provider Identifier
1720902786
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LIFE HEALTH DME LLC
Practice address
511 Algerita Dr Unit a
Georgetown, TX 78628-2440
Phone
(737) 290-8165
NPI assigned
Aug 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Oshen Bedros Manoukian
Title
Director
Phone
(737) 290-8165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

511 Algerita Dr Unit a
Georgetown, TX 78628-2440

Mailing address

511 Algerita Dr Unit a
Georgetown, TX 78628-2440
Phone (737) 290-8165

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1720902786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 ALGERITA DR UNIT A",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282440",
            "telephone_number": "737-290-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 ALGERITA DR UNIT A",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282440",
            "telephone_number": "737-290-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE HEALTH DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-04",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "MANOUKIAN",
        "authorized_official_first_name": "OSHEN BEDROS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "737-290-8165"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.