Vital Care Rx

LBN: Kcc, Inc
Vital Care Rx is an health care organization with primary practice located at 8625 Line Ave Ste A , Shreveport LA 71106-6107. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty. Kcc, Inc can be contacted via phone (318) 673-8360, or through Gilchrist, Brad via phone (601) 482-4003.

Contact Information

Primary practice address
8625 Line Ave Ste A Shreveport LA 71106-6107
Phone: (318) 673-8360
Fax: (318) 673-8940
Website:
Map and Directions
Authorized official contact:
Name: Gilchrist, Brad
Phone: (601) 482-4003

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 006322-IR Louisiana
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 006322-IR Louisiana
Suppliers / Pharmacy 333600000X 6322 Louisiana
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 006322-IR Louisiana

Profile Details

NPI number 1043520968
LBN Legal business name Kcc, Inc
DBA Doing business as Vital Care Rx
Authorized official Gilchrist, Brad
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2010
Last updated May 2nd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043520968 NPPES
Louisiana MEDICAID 2200429

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