Provider Demographics
NPI:1346887254
Name:TOTALCARE COMPREHENSIVE HOME HEALTH SUPPLY, LTD.
Entity Type:Organization
Organization Name:TOTALCARE COMPREHENSIVE HOME HEALTH SUPPLY, LTD.
Other - Org Name:TOTALCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JETRE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHULER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-592-3300
Mailing Address - Street 1:4413 TYLER PARK DR
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-3123
Mailing Address - Country:US
Mailing Address - Phone:903-253-0931
Mailing Address - Fax:903-592-3301
Practice Address - Street 1:1908 12TH AVE NW STE E
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:OK
Practice Address - Zip Code:73401-1255
Practice Address - Country:US
Practice Address - Phone:903-592-3300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-10
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies