NPIMap

Organization Active NPI

Complete Vital Care, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Shreveport, LA
National Provider Identifier
1477577997
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
4863-IR Issued in LA
Legal business name
COMPLETE VITAL CARE, INC.
Practice address
2530 Bert Kouns Industrial Loop
Suite 116
Shreveport, LA 71118-3132
Phone
(318) 686-9995
Fax
(318) 686-9997
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
George Gardiner
Title
President
Phone
(318) 686-9995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 4863-IR LA Primary

Addresses

Primary practice location

2530 Bert Kouns Industrial Loop
Suite 116
Shreveport, LA 71118-3132

Mailing address

PO Box 5047
Meridian, MS 39302-5047
Phone (800) 447-4095

Other names 1

  • Complete Vital Care - Shreveport Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Complete Vital Care - Shreveport18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477577997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5047",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393025047",
            "telephone_number": "800-447-4095",
            "fax_number": "601-482-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 BERT KOUNS INDUSTRIAL LOOP",
            "address_2": "SUITE 116",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183132",
            "telephone_number": "318-686-9995",
            "fax_number": "318-686-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE VITAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARDINER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-686-9995"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "LA",
            "license": "4863-IR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Vital Care - Shreveport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.