Complete Vital Care, Shreveport

LBN: Complete Vital Care, Inc.
Complete Vital Care, Shreveport is an health care organization with primary practice located at 2530 Bert Kouns Industrial Loop Suite 116, Shreveport LA 71118-3132. The organization recently has 10 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Parenteral & Enteral Nutrition is the primary health care specialty. Complete Vital Care, Inc. can be contacted via phone (318) 686-9995, or through Gardiner, Ted via phone (318) 686-9995.

Contact Information

Primary practice address
2530 Bert Kouns Industrial Loop Suite 116 Shreveport LA 71118-3132
Phone: (318) 686-9995
Fax: (318) 686-9997
Website:
Map and Directions
Authorized official contact:
Name: Gardiner, Ted
Phone: (318) 686-9995

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 4863-IR Louisiana
Suppliers / Customized Equipment 332BC3200X 4863-IR Louisiana
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 4863-IR Louisiana
Suppliers / Oxygen Equipment & Supplies 332BX2000X 4863-IR Louisiana
Suppliers / Pharmacy 333600000X 4863-IR Louisiana
Suppliers / Community/Retail Pharmacy 3336C0003X 4863-IR Louisiana
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 4863-IR Louisiana
Suppliers / Long Term Care Pharmacy 3336L0003X 4863-IR Louisiana
Suppliers / Mail Order Pharmacy 3336M0002X 4863-IR Louisiana
Suppliers / Specialty Pharmacy 3336S0011X 4863-IR Louisiana

Profile Details

NPI number 1720018492
LBN Legal business name Complete Vital Care, Inc.
DBA Doing business as Complete Vital Care, Shreveport
Authorized official Gardiner, Ted
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2006
Last updated Apr 20th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720018492 NPPES
Louisiana MEDICAID 1275247

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