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Complete Well-Care Source LLC

Community/Behavioral Health Agency in Salisbury, NC · enumerated 2020 · authorized official Myra Wilson, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124646328

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Registry record

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
Fax (980) 243-0660
Enumeration date Jul 14, 2020
Last updated in NPPES Oct 23, 2024

Taxonomy & classification

171M00000X Case Manager/Care Coordinator Other Service Providers Secondary
172V00000X Community Health Worker Other Service Providers Secondary
251S00000X Community/Behavioral Health Agency Agencies Primary
253Z00000X In Home Supportive Care Agency Agencies Secondary

Authorized official

Name Myra Wilson
Title Ceo

Other identifiers

Identifier Type State Issuer
1124646328 Medicaid NC -
1952929408 Medicaid NC -

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.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Complete Well-Care Source LLC?
Complete Well-Care Source LLC is registered in NPPES as a Community/Behavioral Health Agency (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-10-23.