COMPLETE VITAL CARE, SHREVEPORT
NPI 1720018492
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition in Shreveport, LA

Active since July 05, 2006
2530 BERT KOUNS INDUSTRIAL LOOP, SUITE 116, SHREVEPORT, LA 71118(318) 686-9995(318) 686-9997 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Complete Vital Care, Shreveport NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMPLETE VITAL CARE, SHREVEPORT (NPI 1720018492) is a healthcare organization registered as a parenteral & enteral nutrition in Shreveport, Louisiana and active in the NPI registry since July 2006. The organization lists Ted Gardiner, President, as its authorized official.

NPPES Registry Identity

NPI1720018492
Entity TypeOrganization
Primary Taxonomy332BP3500X
Legal Business NameCOMPLETE VITAL CARE, INC.
Location Address2530 BERT KOUNS INDUSTRIAL LOOP, SUITE 116Shreveport, LA 71118-3132
Mailing Address411 Ashley Ridge BlvdShreveport, LA 71106-7229 · (318) 747-9977 · Fax (318) 747-9994
Fax(318) 686-9997
Organization SubpartNo
Authorized OfficialTed GardinerPresident · (318) 686-9995
Enumeration DateJuly 5, 2006
Last NPPES UpdateApril 20, 2008
NPI 1720018492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

Taxonomy Code332BP3500X
License Licensed in LA · 4863-IR
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 4863-IR (LA)
Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X · License 4863-IR (LA)
Also ListedDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesTaxonomy 332BX2000X · License 4863-IR (LA)
Also ListedPharmacyTaxonomy 333600000X · License 4863-IR (LA)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License 4863-IR (LA)
Also ListedPharmacy · Home Infusion Therapy PharmacyTaxonomy 3336H0001X · License 4863-IR (LA)
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X · License 4863-IR (LA)
Also ListedPharmacy · Mail Order PharmacyTaxonomy 3336M0002X · License 4863-IR (LA)
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X · License 4863-IR (LA)
2530 BERT KOUNS INDUSTRIAL LOOP, Shreveport, LA 71118

Other Names 1

Doing Business AsComplete Vital Care, Shreveport

Other Identifiers 3

Medicaid1275247LA
Other=========016Tricare Corp Svc Provider
Medicare NSC1182190003LA

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy
2530 BERT KOUNS INDUSTRIAL LOOP, STE 116
SHREVEPORT, LA 71118
Pharmacy (Community/Retail Pharmacy)
2530 BERT KOUNS INDUSTRIAL LOOP, STE 116
SHREVEPORT, LA 71118
Eyewear Supplier
2530 BERT KOUNS INDUSTRIAL LOOP, SUITE 116
SHREVEPORT, LA 71118
Dentist (Orthodontics and Dentofacial Orthopedics)
2530 BERT KOUNS INDUSTRIAL LOOP, SUITE 112
SHREVEPORT, LA 71118
Durable Medical Equipment & Medical Supplies
2530 BERT KOUNS INDUSTRIAL LOOP, SUITE 116
SHREVEPORT, LA 71118
Pharmacy (Long Term Care Pharmacy)
2530 BERT KOUNS INDUSTRIAL LOOP, STE 116
SHREVEPORT, LA 71118
Durable Medical Equipment & Medical Supplies (Parenteral & Enteral Nutrition)
2530 BERT KOUNS INDUSTRIAL LOOP, STE 116
SHREVEPORT, LA 71118
Pharmacy (Home Infusion Therapy Pharmacy)
2530 BERT KOUNS INDUSTRIAL LOOP, STE 116
SHREVEPORT, LA 71118

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Complete Vital Care, Inc.'s NPI number?

The NPI number for Complete Vital Care, Inc. is 1720018492. It was assigned to this organization in the NPPES registry on July 5, 2006. The provider is doing business as Complete Vital Care, Shreveport.

Where is Complete Vital Care, Inc. located?

Complete Vital Care, Inc. is located at 2530 Bert Kouns Industrial Loop Suite 116, Shreveport, LA 71118. The listed phone number is (318) 686-9995.

What is Complete Vital Care, Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Parenteral & Enteral Nutrition, with taxonomy code 332BP3500X.

When was this NPI record last updated?

The NPPES record for Complete Vital Care, Inc. was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.