COMPLETE VITAL CARE, INC. (NPI# 1457375974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457375974 |
| 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 | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
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 |
| 1386668804 | Complete Vital Care, Inc. | Durable Medical Equipment & Medical Supplies | 2530 Bert Kouns Industrial Loop, Ste 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 |
| 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 | 3336H0001X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Home Infusion Therapy Pharmacy |
| Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
| Notes: Source: National Home Infusion Association [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861042616 | Align Infusion of Louisiana, LLC | Pharmacy | 3926 Barron St Ste C200, Metairie, LA 70002-5799 | 2019-09-13 |
| 1518117688 | Stewart-johnston Inc | Pharmacy | 1231 Farmerville Hwy, Ruston, LA 71270-3513 | 2008-09-25 |
| 1376607978 | First Call Pharmacy, LLC | Pharmacy | 1500 Veterans Memorial Blvd, Kenner, LA 70062-5386 | 2006-12-20 |
| 1285711390 | Elba Medical Distributors Inc | Pharmacy | 5208 Veterans Blvd, Metairie, LA 70006 | 2006-11-01 |
| 1487742177 | Total Pharmacy Services, Inc | Pharmacy | 7806 Park Ave, Houma, LA 70364-3113 | 2006-10-10 |
| 1518074111 | Kay's Hideaway Pharmacy, Inc. | Pharmacy | 504 Finks Hideaway Rd, Suite 4, Monroe, LA 71203-2470 | 2006-08-23 |
| 1891700431 | Manninos Family Practice Pharmacy Inc | Pharmacy | 113 W Charles St, Hammond, LA 70401-3232 | 2006-07-30 |
| 1962432641 | Complete Vital Care Inc | Pharmacy | 1053 Parkway Dr, Ste B, Natchitoches, LA 71457-6276 | 2006-07-05 |
| 1114973716 | Accredo Health Group Inc | Pharmacy | 520 Elmwood Park Blvd Ste 100, New Orleans, LA 70123-6826 | 2006-05-25 |
| 1265778401 | Icare Pharmacy LLC | Pharmacy | 104 Darwin Cir, Lafayette, LA 70508-7110 | 2012-12-17 |
| 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.