COMPLETE VITAL CARE INC. NPI 1720018492

NPI Information

NPI: 1720018492
Provider Name: COMPLETE VITAL CARE, INC.

Doing Business As: COMPLETE VITAL CARE, SHREVEPORT

Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
Entity Type: Organization

Specialization: Parenteral & Enteral Nutrition

Address:
2530 BERT KOUNS INDUSTRIAL LOOP
SUITE 116
SHREVEPORT, LA
ZIP 71118
Phone: (318) 686-9995
Get Directions

COMPLETE VITAL CARE, INC. is a parenteral and enteral nutrition durable medical equipment medical supplies in Shreveport, LA. COMPLETE VITAL CARE, INC. NPI is 1720018492. The provider is registered as an organization entity type.
The provider Is Doing Business As Complete Vital Care, Shreveport.

The provider's business location address is:

2530 BERT KOUNS INDUSTRIAL LOOP
SUITE 116
SHREVEPORT, LA
ZIP 71118-132
Phone: (318) 686-9995
Fax: (318) 686-9997

The provider's authorized official is Ted Gardiner .
The authorized official title is President and has the following contact phone number (318) 686-9995.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		4863-IR	LOUISIANA	No
2	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	4863-IR	LOUISIANA	No
3	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	4863-IR	LOUISIANA	No
4	333600000X	Pharmacy		4863-IR	LOUISIANA	No
5	3336C0003X	Pharmacy	Community/Retail Pharmacy	4863-IR	LOUISIANA	No
6	3336H0001X	Pharmacy	Home Infusion Therapy Pharmacy	4863-IR	LOUISIANA	No
7	3336L0003X	Pharmacy	Long Term Care Pharmacy	4863-IR	LOUISIANA	No
8	3336M0002X	Pharmacy	Mail Order Pharmacy	4863-IR	LOUISIANA	No
9	3336S0011X	Pharmacy	Specialty Pharmacy	4863-IR	LOUISIANA	No
10	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	4863-IR	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1275247	MEDICAID	LOUISIANA
2	=========016	OTHER		TRICARE CORP SVC PROVIDER
3	1182190003	MEDICARE NSC	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »