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COMPLETE WELL-CARE SOURCE LLC
NPI 1124646328
Community/Behavioral Health in Salisbury, NC

Active since July 14, 2020
512 KLUMAC RD STE 9, SALISBURY, NC 28144(980) 305-2003(980) 243-0660 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 14, 2022, Apr 3, 2021, Jan 10, 2021 and 1 more (4 updates tracked since 2020).

About Complete Well-care Source Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMPLETE WELL-CARE SOURCE LLC (NPI 1124646328) is a healthcare organization registered as a community/behavioral health in Salisbury, North Carolina and active in the NPI registry since July 2020. The organization maintains a secondary practice location in Salisbury and lists Myra Vaughters Wilson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124646328
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCOMPLETE WELL-CARE SOURCE LLC
Location Address512 KLUMAC RD STE 9Salisbury, NC 28144-6752
Mailing Address1320 Landsdown DrSalisbury, NC 28147-7373 · (980) 305-2003 · Fax (980) 340-3432
Phone(980) 305-2003
Fax(980) 243-0660
Organization SubpartNo
Authorized OfficialMyra Vaughters WilsonCeo · (336) 682-8968
Enumeration DateJuly 14, 2020
Last NPPES UpdateOctober 23, 20244 updates tracked since enumeration
NPPES CertifiedOctober 23, 2024
✔ NPI 1124646328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
512 KLUMAC RD STE 9, Salisbury, NC 28144
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Other Names 1

Other NameComplete Well-care Source Llc

Secondary Practice Location 1

Location 11320 Landsdown DrSalisbury, NC 28147-7373 · Phone (336) 682-8968

Other Identifiers 2

Medicaid1124646328NC
Medicaid1952929408NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELDERCARE SOLUTIONS
In Home Supportive Care
512 KLUMAC RD STE 9
SALISBURY, NC 28144
Rowan County (704) 630-0370
COMPLETE TRANSIT SERVICES
Non-emergency Medical Transport (VAN)
512 KLUMAC RD STE 9
SALISBURY, NC 28144
Rowan County (980) 305-2003
BROOKE REYNOLDS
In Home Supportive Care
512 KLUMAC RD STE 9
SALISBURY, NC 28144
Rowan County (704) 630-0370
ELDERCARE SOLUTIONS
In Home Supportive Care
512 KLUMAC RD STE 9
SALISBURY, NC 28144
Rowan County (704) 630-0370

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Complete Well-Care Source LLC's NPI number?

The NPI number for Complete Well-Care Source LLC is 1124646328. It was assigned to this organization in the NPPES registry on July 14, 2020.

Where is Complete Well-Care Source LLC located?

Complete Well-Care Source LLC is located at 512 Klumac Rd Ste 9, Salisbury, NC 28144. The listed phone number is (980) 305-2003.

What is Complete Well-Care Source LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Complete Well-Care Source LLC was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.