Healthcare Provider Details

I. General information

NPI: 1467484642
Provider Name (Legal Business Name): TOTAL CARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 06/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4736 HIGHWAY 17 BYP S SUITE A
MYRTLE BEACH SC
29588-5616
US

IV. Provider business mailing address

12900 FOSTER ST STE 400
OVERLAND PARK KS
66213-2696
US

V. Phone/Fax

Practice location:
  • Phone: 843-293-8042
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: RUTH SCHWARTZ
Title or Position: DIRECTOR LICENSURE
Credential:
Phone: 913-814-2288