Wellness Source, Inc.

LBN: Wellness Source, Inc.
Wellness Source, Inc. is an health care organization with primary practice located at 125 Commerce Park Rd Suite 105, Mooresville NC 28117-7131. The organization recently has 8 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mastectomy Fitter, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Dialysis Equipment & Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty. Wellness Source, Inc. can be contacted via phone (704) 799-2873, or through Little, Heather Swanson via phone (704) 799-2873.

Contact Information

Primary practice address
125 Commerce Park Rd Suite 105 Mooresville NC 28117-7131
Phone: (704) 799-2873
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Little, Heather Swanson
Phone: (704) 799-2873

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mastectomy Fitter 224900000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter 225000000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 01026 North Carolina
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Customized Equipment 332BC3200X
Suppliers / Dialysis Equipment & Supplies 332BD1200X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X
Suppliers / Oxygen Equipment & Supplies 332BX2000X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1770689135
LBN Legal business name Wellness Source, Inc.
DBA Doing business as
Authorized official Little, Heather Swanson
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2006
Last updated Sep 12th, 2022 - about 4 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 1770689135 NPPES
North Carolina MEDICAID 7704485

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