MEDICARE: TOTAL CARE MANAGEMENT INC

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1740333475
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL CARE MANAGEMENT INC

Provider Business Mailing Address
First Line	:	12712 SAINT JOHNS DR
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-8329
Country	:	US
Telephone Number	:	405-751-2661
Fax Number	:

Provider Business Practice Location Address
First Line	:	1735 NW 5TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73106-2614
Country	:	US
Telephone Number	:	405-231-2779
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DONALD R CHADWELL
Credential	:
Telephone Number	:	405-231-2779

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	12/20/2007

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