COMPLETE VITAL CARE - SHREVEPORT – NPI #1386668804
Durable Medical Equipment & Medical Supplies

COMPLETE VITAL CARE - SHREVEPORT is a DME supplier located in SHREVEPORT, LA. NPPES has assigned the NPI number 1386668804 to COMPLETE VITAL CARE - SHREVEPORT on July 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COMPLETE VITAL CARE - SHREVEPORT” is a dba name, the actual legal business name for this organization is COMPLETE VITAL CARE, INC.. The primary taxonomy selected by this provider is 332BP3500X from the Health Care Provider Taxonomy code set, which is classified as Durable Medical Equipment & Medical Supplies, specializing in Parenteral & Enteral Nutrition

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COMPLETE VITAL CARE - SHREVEPORT below.

NPI Profile for
COMPLETE VITAL CARE, INC.

NPI Number
1386668804
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMPLETE VITAL CARE, INC.
Doing Business As (dba): COMPLETE VITAL CARE - SHREVEPORT
Primary location
2530 BERT KOUNS INDUSTRIAL LOOP
STE 116
SHREVEPORT, LA 71118-3132
Phone: (318) 686-9995 Fax: (318) 686-9997
Mailing address
PO BOX 5047
MERIDIAN, MS 39302-5047
Phone: (800) 447-4095 Fax: (601) 482-7490
Organization Subpart
No
Authorized Official
GEORGE GARDINER
PRESIDENT
Phone: (318) 686-9995
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
332BP3500X
- Durable Medical Equipment & Medical Supplies / Parenteral & Enteral Nutrition (Primary)		 LA 4863 IR

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.