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Complete Vital Care, Inc.

Parenteral & Enteral Nutrition Supplies (DME) in Shreveport, LA · enumerated 2006 · authorized official Ted Gardiner, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720018492

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Complete Vital Care, Inc.
Other name <Unavail>
Practice address 2530 Bert Kouns Industrial Loop, Suite 116, Shreveport, LA, 71118
Fax (318) 686-9997
Enumeration date Jul 5, 2006
Last updated in NPPES Apr 20, 2008

Taxonomy & classification

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

Authorized official

Name Ted Gardiner
Title President

Other identifiers

Identifier Type State Issuer
1275247 Medicaid LA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Complete Vital Care, Inc.?
The NPI for Complete Vital Care, Inc. is 1720018492, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Complete Vital Care, Inc.?
NPPES lists Ted Gardiner (President) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-20.