NPIMap

Organization Active NPI

Totalcare Comprehensive Home Health Supply

  • Durable Medical Equipment & Medical Supplies
  • Texarkana, AR
National Provider Identifier
1902138910
Registry record updated Feb 2, 2010
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
Practice address
1600 Arkansas Blvd
Ste 110
Texarkana, AR 71854-1664
Phone
(870) 216-2830
Fax
(870) 216-2831
NPI assigned
Feb 2, 2010
Last updated
Feb 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Authorized official

Name
Mr. Greg Ortiz
Title
Owner
Phone
(903) 592-3300

Specialties & licenses 1

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

Addresses

Primary practice location

1600 Arkansas Blvd
Ste 110
Texarkana, AR 71854-1664

Mailing address

401 E Front St
Suite 224
Tyler, TX 75702-8213
Phone (903) 592-3300

Other identifiers 2

IdentifierTypeStateIssuer
165742101MedicaidTX
165742102MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Totalcare Comprehensive Home Health Supply LTD9 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

1600 Arkansas Blvd
Ste 110
Texarkana, AR 71854
Phone (870) 216-2830

NPI Registry JSON

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1902138910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E FRONT ST",
            "address_2": "SUITE 224",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028213",
            "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": "1600 ARKANSAS BLVD",
            "address_2": "STE 110",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718541664",
            "telephone_number": "870-216-2830",
            "fax_number": "870-216-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTALCARE COMPREHENSIVE HOME HEALTH SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "GREG",
        "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
        }
    ],
    "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 Texarkana, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.