NPIMap

Organization Active NPI

Total Care D.M.E and Supplies, L.L.C

  • Customized Equipment (DME)
  • Dallas, TX
National Provider Identifier
1689853970
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
0098314 Issued in TX
Legal business name
TOTAL CARE D.M.E AND SUPPLIES, L.L.C
Practice address
4650 S. Hampton Rd.
Suite # 104
Dallas, TX 75232-1058
Phone
(214) 330-4300
Fax
(866) 648-1924
NPI assigned
Nov 2, 2007
Organization subpart
Yes
Parent organization
TOTAL CARE DME AND SUPPLIES, L.L.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Mrs. Ruth M. BlandonNPI 1891841763
Title
Adm/Owner
Phone
(214) 330-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 0098314 TX Primary

Addresses

Primary practice location

4650 S. Hampton Rd.
Suite # 104
Dallas, TX 75232-1058

Mailing address

4650 S. Hampton Rd. Ste. 104
Dallas, TX 75232-1058
Phone (214) 330-4300

Other identifiers 2

IdentifierTypeStateIssuer
1888125-02MedicaidTX
188852-01MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930067998 TX DME Supplier - Medical Supply CompanyDME Supplier - Orthotic Personnel 5698970853 Practice locations: Dallas, TX

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
Total Care DME and Suplies LLC4650 S Hampton Rd, Dallas, TX 75232-1061(214) 330-4300 Urological Supplies Accepts assignmentParticipating since Jul 20, 2007

National Provider Directory

National Provider Directory
Tax ID family
Total Care DME and Supplies LLC2 organizations share this tax ID, including this one
Part of
Total Care DME and Supplies LLC

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1689853970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 S. HAMPTON RD. STE. 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752321058",
            "telephone_number": "214-330-4300",
            "fax_number": "866-648-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 S. HAMPTON RD.",
            "address_2": "SUITE # 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752321058",
            "telephone_number": "214-330-4300",
            "fax_number": "866-648-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL CARE D.M.E AND SUPPLIES, L.L.C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOTAL CARE DME AND SUPPLIES, L.L.C.",
        "enumeration_date": "2007-11-02",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "BLANDON",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ADM/OWNER",
        "authorized_official_telephone_number": "214-330-4300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "0098314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1888125-02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188852-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.