Healthcare Provider Details

I. General information

NPI: 1841311701
Provider Name (Legal Business Name): COMPLETE VITAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3212 INDUSTRIAL ST
ALEXANDRIA LA
71301-3511
US

IV. Provider business mailing address

3212 INDUSTRIAL ST
ALEXANDRIA LA
71301-3511
US

V. Phone/Fax

Practice location:
  • Phone: 318-473-8800
  • Fax: 318-473-8005
Mailing address:
  • Phone: 318-473-8800
  • Fax: 318-473-8005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number4436IR
License Number StateLA

VIII. Authorized Official

Name: MR. ALBERT E VELOTTA JR.
Title or Position: FACILITY MANAGER
Credential: RN,MSN,CNS
Phone: 318-473-8800