COMPLETE VITAL CARE, INC. (NPI# 1386668804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386668804 |
| Entity Type | Organization |
| Organization Name | COMPLETE VITAL CARE, INC. |
| Other Organization Name | COMPLETE VITAL CARE - SHREVEPORT |
| Practice Address |
2530 Bert Kouns Industrial Loop Ste 116 Shreveport LA 71118-3132 |
| Mailing Address |
Po Box 5047 Meridian MS 39302-5047 |
| Practice Telephone | 3186869995 |
| Practice Fax Number | 3186869997 |
| Mailing Telephone | 8004474095 |
| Mailing Fax Number | 6014827490 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GEORGE GARDINER (PRESIDENT) |
| Authorized Official Telephone | 3186869995 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
4863 IR | LA | Suppliers |
| Other Name | Type Code |
|---|---|
| Complete Vital Care - Shreveport | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043238694 | Complete Vital Care, Inc. | Durable Medical Equipment & Medical Supplies | 325 Dixie Plz, Ste B, Natchitoches, LA 71457-5880 | 2006-07-18 |
| 1023048790 | Complete Vital Care, Inc. | Durable Medical Equipment & Medical Supplies | 4801 Jackson Street Ext # B, Alexandria, LA 71303-2508 | 2006-07-05 |
| 1720018492 | Complete Vital Care, Inc. | Durable Medical Equipment & Medical Supplies | 2530 Bert Kouns Industrial Loop, Suite 116, Shreveport, LA 71118-3132 | 2006-07-05 |
| 1790799591 | Complete Vital Care, Inc. | Pharmacy | 2530 Bert Kouns Industrial Loop, Ste 116, Shreveport, LA 71118-3132 | 2006-07-28 |
| 1629092150 | Complete Vital Care, Inc. | Pharmacy | 2530 Bert Kouns Industrial Loop, Ste 116, Shreveport, LA 71118-3132 | 2006-07-27 |
| 1396769816 | Complete Vital Care, Inc. | Durable Medical Equipment & Medical Supplies | 325 Dixie Plz, Ste B, Natchitoches, LA 71457-5880 | 2006-07-27 |
| 1477577997 | Complete Vital Care, Inc. | Durable Medical Equipment & Medical Supplies | 2530 Bert Kouns Industrial Loop, Suite 116, Shreveport, LA 71118-3132 | 2006-07-27 |
| 1194749614 | Complete Vital Care, Inc. | Pharmacy | 2530 Bert Kouns Industrial Loop, Ste 116, Shreveport, LA 71118-3132 | 2006-07-27 |
| 1457375974 | Complete Vital Care, Inc. | Pharmacy | 2530 Bert Kouns Industrial Loop, Ste 116, Shreveport, LA 71118-3132 | 2006-07-27 |
| 1366466880 | Complete Vital Care, Inc. | Pharmacy | 2530 Bert Kouns Industrial Loop, Ste 116, Shreveport, LA 71118-3132 | 2006-07-27 |
| Street Address |
2530 BERT KOUNS INDUSTRIAL LOOP STE 116 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71118-3132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720018492 | Complete Vital Care, Inc. | Durable Medical Equipment & Medical Supplies | 2530 Bert Kouns Industrial Loop, Suite 116, Shreveport, LA 71118-3132 | 2006-07-05 |
| 1922533637 | Wk Allergy Asthma & Immunology Center | Allergy & Immunology | 2530 Bert Kouns Industrial Loop, Suite 112, Shreveport, LA 71118-3132 | 2017-05-01 |
| 1689043051 | Affinity Eyewear LLC | Eyewear Supplier (Equipment, not the service) | 2530 Bert Kouns Industrial Loop, Suite 116, Shreveport, LA 71118-3132 | 2015-09-16 |
| 1639587496 | Wk Child Neurology | Psychiatry & Neurology | 2530 Bert Kouns Industrial Loop, Suite 113, Shreveport, LA 71118-3132 | 2014-07-24 |
| 1225301203 | Optical Zone, LLC | Eyewear Supplier (Equipment, not the service) | 2530 Bert Kouns Industrial Loop, Suite 116, Shreveport, LA 71118-3132 | 2012-02-21 |
| 1649430331 | Torma Executives Consultants LLC | Specialist | 2530 Bert Kouns Industrial Loop, Suite 138, Shreveport, LA 71118-3132 | 2008-06-16 |
| 1851512388 | Louisiana Orthodontic Specialists | Dentist | 2530 Bert Kouns Industrial Loop, Suite 112, Shreveport, LA 71118-3132 | 2007-05-01 |
| 1346468469 | Ernest Cecil Farabee IIi | Dentist | 2530 Bert Kouns Industrial Loop, Suite 112, Shreveport, LA 71118-3132 | 2007-04-23 |
| 1790799591 | Complete Vital Care, Inc. | Pharmacy | 2530 Bert Kouns Industrial Loop, Ste 116, Shreveport, LA 71118-3132 | 2006-07-28 |
| 1629092150 | Complete Vital Care, Inc. | Pharmacy | 2530 Bert Kouns Industrial Loop, Ste 116, Shreveport, LA 71118-3132 | 2006-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620784 | Wk Center for Pediatric Gastroenterology | Pediatrics | Wk Center for Pediatric Gastroenterology, 2530 Bert Kouns Industrial Loop, Ste 113, Shreveport, LA 71118 | 2019-10-11 |
| 1306302443 | Diamond Marie Willis | Case Manager/Care Coordinator | 9403 Mansfield Rd., Shreveport, LA 71118 | 2019-02-13 |
| 1194224469 | Latosa Hall | Case Manager/Care Coordinator | 9007 Letha Loop, Shreveport, LA 71118 | 2018-02-01 |
| 1902321623 | Bersheika Lashay Player | Counselor | 9403 Mansfield Road, Shreveport, LA 71118 | 2017-08-03 |
| 1518487149 | Clarke Jackson | Case Manager/Care Coordinator | 9730 Baird Rd Apt 2310, Shreveport, LA 71118 | 2017-06-24 |
| 1770010449 | Darrie'l Smith | Counselor | 2715 Mackey, Shreveport, LA 71118 | 2017-05-12 |
| 1760917041 | Delilah Wells | Case Manager/Care Coordinator | 9005 Walker Rd Apt 722, Shreveport, LA 71118 | 2017-04-25 |
| 1790229664 | We Care Transporttion Services LLC | Secured Medical Transport (VAN) | 2529 Summer Grove Dr, Shreveport, LA 71118 | 2016-12-13 |
| 1063955128 | Commanisha Smith | Social Worker | 2715 Mackey Place, Shreveport, LA 71118 | 2016-11-22 |
| 1023560802 | Yasmin Newman | Counselor | 9812 West Trails End, Shreveport, LA 71118 | 2016-10-27 |
| Find all providers in zip 71118 | ||||
| Taxonomy Code | 332BP3500X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Parenteral & Enteral Nutrition |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205873122 | Odell LLC | Durable Medical Equipment & Medical Supplies | 1780 E Bert Kouns Loop, Suite 808, Shreveport, LA 71105-5560 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285165845 | Assertive Tech LLC | Durable Medical Equipment & Medical Supplies | 7809 Means Ave, New Orleans, LA 70127-1331 | 2017-03-24 |
| 1902296478 | Union Care Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 304 Corporate Dr, Suite A, Houma, LA 70360-2458 | 2015-02-04 |
| 1578961629 | Acariahealth Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1736 Gause Blvd E Ste 24, Slidell, LA 70461-5521 | 2014-12-05 |
| 1598037301 | Northeast Louisiana Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 777 N Washington St, Bastrop, LA 71220-3003 | 2012-02-09 |
| 1700183852 | Apria Healthcare Inc | Durable Medical Equipment & Medical Supplies | 2341 Larkspur Ln, Ste 1, Opelousas, LA 70570-8604 | 2011-02-24 |
| 1598070138 | A & B Medical Supply of Crowley, L.L.C. | Durable Medical Equipment & Medical Supplies | 123 N Parkerson Ave, Crowley, LA 70526-5001 | 2010-08-06 |
| 1306012851 | Louisiana Department of Health Oph | Durable Medical Equipment & Medical Supplies | 1450 Poydras St Ste 2046, New Orleans, LA 70112 | 2008-05-05 |
| 1366620700 | Tonore Medical Inc. | Durable Medical Equipment & Medical Supplies | 209 Monroe St, Tallulah, LA 71282-5225 | 2008-02-07 |
| 1508996877 | Health Shield, Inc. | Durable Medical Equipment & Medical Supplies | 4333 Shreveport Hwy, Pineville, LA 71360-3828 | 2007-03-06 |
| 1215093943 | Notre Dame Health System | Durable Medical Equipment & Medical Supplies | 2832 Burdette St, New Orleans, LA 70125-2514 | 2006-12-28 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71118 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.