Healthcare Provider Details
I. General information
NPI: 1275699498
Provider Name (Legal Business Name): TOTAL CARE MEDICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/29/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
115 MARCON DR
LAFAYETTE LA
70507-6208
US
IV. Provider business mailing address
4311 BLUEBONNET BLVD
BATON ROUGE LA
70809
US
V. Phone/Fax
- Phone: 337-291-9919
- Fax: 337-291-9920
- Phone: 225-928-8989
- Fax: 225-928-8990
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BP3500X |
| Taxonomy | Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
CHARLES
LANPHIER
Title or Position: MANAGER
Credential:
Phone: 225-928-8989