COMPLETE VITAL CARE, INC. (NPI# 1629092150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629092150 |
| 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 | 3336S0011X |
Pharmacy Specialization: Specialty 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 |
| 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 |
| 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 |
| 1477577997 | Complete Vital Care, Inc. | Durable Medical Equipment & Medical Supplies | 2530 Bert Kouns Industrial Loop, Suite 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 | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568784031 | Medrx Inc | Pharmacy | 745 Olive St, Suite 201, Shreveport, LA 71104-2246 | 2010-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912479270 | H & W Drug Store 3 | Pharmacy | 1667 Tchoupitoulas St Ste B, New Orleans, LA 70130-1852 | 2018-12-27 |
| 1184111270 | Option Care Enterprises, Inc. | Pharmacy | 524 Elmwood Park Blvd Ste 120, Elmwood, LA 70123 | 2018-04-16 |
| 1801309133 | Fmol Health Systems | Pharmacy | 4950 Essen Ln Ste 540, Baton Rouge, LA 70809-3738 | 2017-11-08 |
| 1760836381 | Ochsner Pharmacy and Wellness LLC | Pharmacy | 1405 Jefferson Hwy Ste A, New Orleans, LA 70121-2426 | 2016-04-20 |
| 1962816223 | Avita Drugs LLC | Pharmacy | 5551 Corporate Blvd Ste 102, Baton Rouge, LA 70808-2512 | 2014-06-16 |
| 1932412095 | Optum Infusion Services 305, LLC | Pharmacy | 11211 Industriplex Blvd., Ste. 900, Baton Rouge, LA 70809 | 2010-07-19 |
| 1255566857 | Medcore Specialty Pharmacy | Pharmacy | 1435 E. Carroll St., Suite B, Coushatta, LA 71019 | 2009-05-27 |
| 1255722468 | Affordable Pharmacy LLC | Pharmacy | 1718 N Foster Dr Ste B, Baton Rouge, LA 70806-1076 | 2015-02-10 |
| 1033508544 | Rays Pharmacy On Versailles LLC | Pharmacy | 78a Versailles Blvd, Alexandria, LA 71303-3960 | 2015-01-21 |
| 1215274741 | Lacombe Family Pharmacy LLC | Pharmacy | 28079 Us Hwy 190, Lacombe, LA 70445 | 2013-01-03 |
| 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.