Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Complete Vital Care, Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1720018492

Complete Vital Care, Inc is a Durable Medical Equipment & Medical Supplies in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2006.

Licensed in
LA
In the registry since
2006
Specialties on file
10
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2530 Bert Kouns Industrial Loop Ste 116
Shreveport, LA 71118-3132
Phone: (318) 686-9995
Fax: (318) 686-9997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Parenteral & Enteral Nutrition Supplies (DME) (primary) Taxonomy 332BP3500X · Licence 4863-IR (LA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 4863-IR (LA)
Customized Equipment (DME) Taxonomy 332BC3200X · Licence 4863-IR (LA)
Oxygen Equipment & Supplies (DME) Taxonomy 332BX2000X · Licence 4863-IR (LA)
Pharmacy Taxonomy 333600000X · Licence 4863-IR (LA)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence 4863-IR (LA)
Home Infusion Therapy Pharmacy Taxonomy 3336H0001X · Licence 4863-IR (LA)
Long Term Care Pharmacy Taxonomy 3336L0003X · Licence 4863-IR (LA)
Mail Order Pharmacy Taxonomy 3336M0002X · Licence 4863-IR (LA)
Specialty Pharmacy Taxonomy 3336S0011X · Licence 4863-IR (LA)

Record details

NPI number1720018492
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ted Gardiner — President · (318) 686-9995
Other names Complete Vital Care, Shreveport
NPI enumeratedJuly 5, 2006
Last updated in NPPESApril 20, 2008
Mailing address411 Ashley Ridge Blvd, Shreveport, LA 71106-7229

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