MEDICARE: TOTALCARE COMPREHENSIVE HOME HEALTH SUPPLY, LTD.

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	332BC3200X	Customized Equipment (DME)
2	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

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

Provider Business Mailing Address
First Line	:	4413 TYLER PARK DR STE A
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75703-3123
Country	:	US
Telephone Number	:	903-592-3300
Fax Number	:	903-592-3301

Provider Business Practice Location Address
First Line	:	4413 TYLER PARK DR STE A
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75703-3123
Country	:	US
Telephone Number	:	903-592-3300
Fax Number	:	903-592-3301

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JETRE SCHULER
Credential	:
Telephone Number	:	903-592-3300

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	03/25/2024

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Directions to “TOTALCARE COMPREHENSIVE HOME HEALTH SUPPLY, LTD. ” Practice Location

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