OrganizationActive
Complete Vital Care, Inc.
NPI 1629092150 · Specialty Pharmacy · Shreveport, LA
Provider details
- NPI number
- 1629092150
- Entity type
- Organization
- Primary specialty
- Specialty PharmacySuppliers
- Organization subpart
- No
- Authorized official
- George Gardiner, President(318) 686-9995
- License
- 4863 IR (LA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2530 Bert Kouns Industrial Loop
Ste 116
Shreveport, LA 71118-3132
Phone: (318) 686-9995
Fax: (318) 686-9997
Street-level locationGet directions
Mailing address
Po Box 5047
Meridian, MS 39302-5047
Other names (DBA / former)
- Doing business as
- Complete Vital Care - Shreveport
Registry dates
- Enumerated
- 2006-07-27
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.