Healthcare Provider Details

I. General information

NPI: 1194906362
Provider Name (Legal Business Name): TOTAL CARE HOME MEDICAL EQUIPMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2007
Last Update Date: 06/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9657 STRONG HWY
STRONG AR
71765
US

IV. Provider business mailing address

PO BOX 721
STRONG AR
71765-0721
US

V. Phone/Fax

Practice location:
  • Phone: 870-797-7200
  • Fax: 870-797-7201
Mailing address:
  • Phone: 870-797-7200
  • Fax: 870-797-7201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: FAYE BENNETT
Title or Position: MANAGING MEMBER
Credential: LPN
Phone: 870-797-7200