OrganizationActive
Complete Vital Care, Inc.
NPI 1720018492 · Parenteral & Enteral Nutrition Supplies (DME) · Shreveport, LA
Provider details
- NPI number
- 1720018492
- Entity type
- Organization
- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Ted Gardiner, President(318) 686-9995
- License
- 4863-IR (LA)
Specialties & taxonomies
Suppliers
Suppliers
Suppliers
Suppliers
Suppliers
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
Suite 116
Shreveport, LA 71118-3132
Phone: (318) 686-9995
Fax: (318) 686-9997
Street-level locationGet directions
Mailing address
411 Ashley Ridge Blvd
Shreveport, LA 71106-7229
Other names (DBA / former)
- Doing business as
- Complete Vital Care, Shreveport
Registry dates
- Enumerated
- 2006-07-05
- Last updated
- 2008-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.