Complete Well-Care Source Llc
LBN: Complete Well-Care Source Llc
Complete Well-Care Source Llc is an health care organization with primary practice located at 512 Klumac Rd Ste 9 , Salisbury NC 28144-6752. The organization recently has 4 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker, Agencies / Community/Behavioral Health, Agencies / In Home Supportive Care. Agencies / Community/Behavioral Health is the primary health care specialty.
Complete Well-Care Source Llc can be contacted via phone (980) 305-2003, or through Wilson, Myra Vaughters via phone (336) 682-8968.
Contact Information
Primary practice address
512 Klumac Rd Ste 9
Salisbury NC 28144-6752
Phone: (980) 305-2003
Fax: (980) 243-0660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Other Service Providers / Community Health Worker | 172V00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Agencies / In Home Supportive Care | 253Z00000X |
Profile Details
| NPI number | 1124646328 |
|---|---|
| LBN Legal business name | Complete Well-Care Source Llc |
| DBA Doing business as | Complete Well-Care Source Llc |
| Authorized official | Wilson, Myra Vaughters |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 14th, 2020 |
| Last updated | Feb 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124646328 | NPPES |
| North Carolina | MEDICAID | 1124646328 | |
| North Carolina | MEDICAID | 1952929408 |
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