Provider Demographics
NPI:1689853970
Name:TOTAL CARE D.M.E AND SUPPLIES, L.L.C
Entity Type:Organization
Organization Name:TOTAL CARE D.M.E AND SUPPLIES, L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADM/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:M
Authorized Official - Last Name:BLANDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-330-4300
Mailing Address - Street 1:4650 S. HAMPTON RD. STE. 104
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75232-1058
Mailing Address - Country:US
Mailing Address - Phone:214-330-4300
Mailing Address - Fax:866-648-1924
Practice Address - Street 1:4650 S. HAMPTON RD.
Practice Address - Street 2:SUITE # 104
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75232-1058
Practice Address - Country:US
Practice Address - Phone:214-330-4300
Practice Address - Fax:866-648-1924
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOTAL CARE DME AND SUPPLIES, L.L.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-11-02
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0098314332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1888125-02Medicaid
TX188852-01Medicaid
TX188852-01Medicaid