Healthcare Provider Details

I. General information

NPI: 1083626295
Provider Name (Legal Business Name): TOTALCARE COMPREHENSIVE HOME HEALTH SUPPLY, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 03/25/2024
Certification Date: 03/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4413 TYLER PARK DR STE A
TYLER TX
75703-3123
US

IV. Provider business mailing address

4413 TYLER PARK DR STE A
TYLER TX
75703-3123
US

V. Phone/Fax

Practice location:
  • Phone: 903-592-3300
  • Fax: 903-592-3301
Mailing address:
  • Phone: 903-592-3300
  • Fax: 903-592-3301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. JETRE SCHULER
Title or Position: OWNER
Credential:
Phone: 903-592-3300