NPIMap

Organization Active NPI

Totalcare Comprehensive Home Health Supply, LTD.

  • Durable Medical Equipment & Medical Supplies
  • Tyler, TX
National Provider Identifier
1083626295
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TOTALCARE COMPREHENSIVE HOME HEALTH SUPPLY, LTD.
Practice address
4413 Tyler Park Dr Ste a
Tyler, TX 75703-3123
Phone
(903) 592-3300
Fax
(903) 592-3301
NPI assigned
Aug 13, 2006
Last updated
Mar 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jetre Schuler
Title
Owner
Phone
(903) 592-3300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Customized Equipment (DME) 332BC3200X NU

Addresses

Primary practice location

4413 Tyler Park Dr Ste a
Tyler, TX 75703-3123

Mailing address

4413 Tyler Park Dr Ste a
Tyler, TX 75703-3123
Phone (903) 592-3300

Other identifiers 2

IdentifierTypeStateIssuer
165742101MedicaidTX
165742102MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930006120 TX DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 8820206113 Practice locations: Tyler, TX

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Totalcare Comprehensive Home Health4413 Tyler Park Dr, Tyler, TX 75703-3123(903) 592-3300 Commodes, Urinals, Bedpans|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scooters)|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Access… Does not accept assignmentParticipating since Jun 7, 2004

National Provider Directory

National Provider Directory
Tax ID family
Totalcare Comprehensive Home Health9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4413 Tyler Park Dr
Ste A
Tyler, TX 75703
Phone (866) 858-3300

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1083626295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4413 TYLER PARK DR STE A",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033123",
            "telephone_number": "903-592-3300",
            "fax_number": "903-592-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4413 TYLER PARK DR STE A",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033123",
            "telephone_number": "903-592-3300",
            "fax_number": "903-592-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTALCARE COMPREHENSIVE HOME HEALTH SUPPLY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "SCHULER",
        "authorized_official_first_name": "JETRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-592-3300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165742101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165742102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.