NPIMap

Organization Active NPI

Totalcare Comprehensive Home Health Supply, LTD

  • Durable Medical Equipment & Medical Supplies
  • Soldotna, AK
National Provider Identifier
1366109902
Registry record updated May 6, 2025
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
255 N Aspen Dr
Soldotna, AK 99669-7527
Phone
(903) 663-2226
Fax
(888) 633-7575
NPI assigned
Nov 18, 2021
Last updated
May 6, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
TOTALCARE COMPREHENSIVE HOME HEALTH SUPPLY, LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Authorized official

Name
Jonathan Marcus Leichliter
Title
Ceo
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

255 N Aspen Dr
Soldotna, AK 99669-7527

Mailing address

4413 Tyler Park Dr Ste a
Tyler, TX 75703-3123
Phone (866) 858-3300

Other identifiers 1

IdentifierTypeStateIssuer
165742102.165742104MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rehab@totalcaretyler.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220523001201 AK DME Supplier - Medical Supply Company 8820206113 Practice locations: Soldotna, AK

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 Health255 N Aspen Dr, Soldotna, AK 99669-7527(866) 858-3300 Hospital Beds (Electric)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Power Operated Vehicles (Scooters)|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchairs (Standard Power)|Wheelchairs (Standard Power Related Accessories)|… 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
Part of
Totalcare Comprehensive Home Health

Other organizations with this tax ID 8

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

Locations

255 N Aspen Dr
Soldotna, AK 99669
Phone (903) 592-3300

4413 Tyler Park Dr
Tyler, TX 75703

NPI Registry JSON

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1366109902",
    "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": "866-858-3300",
            "fax_number": "888-633-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N ASPEN DR",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697527",
            "telephone_number": "903-663-2226",
            "fax_number": "888-633-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTALCARE COMPREHENSIVE HOME HEALTH SUPPLY, LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOTALCARE COMPREHENSIVE HOME HEALTH SUPPLY, LTD",
        "enumeration_date": "2021-11-18",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "LEICHLITER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "MARCUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "903-592-3300"
    },
    "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": "165742102.165742104",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rehab@totalcaretyler.com",
            "affiliation": "N",
            "address_1": "255 N Aspen Dr",
            "city": "Soldotna",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996697527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.