MEDICARE: YOUNGMANS EQUIPMENTS 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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1588483978
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOUNGMANS EQUIPMENTS LLC

Provider Business Mailing Address
First Line	:	811 S CENTRAL EXPY STE 414
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75080-7425
Country	:	US
Telephone Number	:	844-692-2526
Fax Number	:	469-262-0185

Provider Business Practice Location Address
First Line	:	811 S CENTRAL EXPY STE 414
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75080-7425
Country	:	US
Telephone Number	:	844-692-2526
Fax Number	:	469-262-0185

Authorized Official
Title or Position	:	OWNER
Name	:	ELDAR KHETAGASHVILI
Credential	:
Telephone Number	:	844-692-2526

Provider Enumeration Date	:	10/03/2024
Last Update Date	:	02/12/2026

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Directions to “YOUNGMANS EQUIPMENTS LLC ” Practice Location

Language	Start Address	Practice Location

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