Complete Well-Care Source LLC
Complete Well-Care Source LLC is a healthcare organization registered as Community/Behavioral Health Agency in Salisbury, NC, holding Type 2 (organization) NPI 1124646328 since 2020. The authorized official on file is Myra Wilson, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124646328 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Complete Well-Care Source LLC |
| Other name | <Unavail> |
| Practice address | 512 KLUMAC RD STE 9, Salisbury, NC, 28144 |
| Phone | 9803052003 |
| Fax | 9802430660 |
| Enumeration date | 2020-07-14 |
| Last updated in NPPES | 2024-10-23 |
Authorized official
| Name | Myra Wilson |
|---|---|
| Title | Ceo |
| Phone | 3366828968 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | Secondary | — | — |
| 172V00000X | Community Health Worker | Secondary | — | — |
| 253Z00000X | In Home Supportive Care Agency | Secondary | — | — |
| 251S00000X | Community/Behavioral Health Agency | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124646328 | Medicaid | NC | — |
| 1952929408 | Medicaid | NC | — |
Copy-ready billing details
Provider: Complete Well-Care Source LLC NPI: 1124646328 Taxonomy: 251S00000X (Community/Behavioral Health Agency) Address: 512 KLUMAC RD STE 9, Salisbury, NC, 28144
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1992867915 | Eldercare Solutions | Organization | In Home Supportive Care Agency | Salisbury, NC |
| 1114122967 | Eldercare Solutions | Organization | In Home Supportive Care Agency | Salisbury, NC |
| 1972153021 | Brooke Reynolds | Individual | In Home Supportive Care Agency | Salisbury, NC |
| 1851112700 | Complete Transit Services | Organization | Non-emergency Medical Transport (VAN) | Salisbury, NC |
Verify this record
Cross-check NPI 1124646328 against the authoritative CMS record: view Complete Well-Care Source LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Complete Well-Care Source LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-10-23.