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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: July 19, 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
Phone(318) 686-9995
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

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionSuppliers
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
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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.

DR. ERNEST CECIL FARABEE III D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
2530 BERT KOUNS INDUSTRIAL LOOP, SUITE 112
SHREVEPORT, LA 71118
Caddo Parish (318) 688-2225
TORMA EXECUTIVES CONSULTANTS LLC
Specialist
2530 BERT KOUNS INDUSTRIAL LOOP, SUITE 138
SHREVEPORT, LA 71118
Caddo Parish (318) 212-5911
OPTICAL ZONE, LLC
Eyewear Supplier
2530 BERT KOUNS INDUSTRIAL LOOP, SUITE 116
SHREVEPORT, LA 71118
Caddo Parish (318) 629-1870
WK CHILD NEUROLOGY
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2530 BERT KOUNS INDUSTRIAL LOOP, SUITE 113
SHREVEPORT, LA 71118
Caddo Parish (318) 212-5811
AFFINITY EYEWEAR LLC
Eyewear Supplier
2530 BERT KOUNS INDUSTRIAL LOOP, SUITE 116
SHREVEPORT, LA 71118
Caddo Parish (281) 224-7697
COMPLETE VITAL CARE, INC.
Durable Medical Equipment & Medical Supplies
2530 BERT KOUNS INDUSTRIAL LOOP, SUITE 116
SHREVEPORT, LA 71118
Caddo Parish (318) 686-9995
COMPLETE VITAL CARE, INC.
Pharmacy
2530 BERT KOUNS INDUSTRIAL LOOP, STE 116
SHREVEPORT, LA 71118
Caddo Parish (318) 686-9995
COMPLETE VITAL CARE, INC.
Durable Medical Equipment & Medical Supplies (Customized Equipment)
2530 BERT KOUNS INDUSTRIAL LOOP, STE 116
SHREVEPORT, LA 71118
Caddo Parish (318) 686-9995

Frequently Asked Questions

What is COMPLETE VITAL CARE, INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1720018492, enumerated as an "organization" on July 05, 2006.

Where is the provider located?

The provider is located at 2530 BERT KOUNS INDUSTRIAL LOOP SUITE 116 SHREVEPORT, LA 71118 and the phone number is (318) 686-9995.

What is the provider's specialty?

Durable Medical Equipment & Medical Supplies with taxonomy code 332BP3500X and a focus in Parenteral & Enteral Nutrition.

What insurance does COMPLETE VITAL CARE, INC. accept?

The provider might be accepting Accepts: Medicare, Medicaid and Tricare. Please consult your insurance carrier or call the provider to verify.