Organization Active NPI

Wellness Worthy LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Concord, NC
National Provider Identifier
1871376434
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
WELLNESS WORTHY LLC
Practice address
9900 Poplar Tent Rd Ste 1153061
Concord, NC 28027-9502
Phone
(704) 262-1163
NPI assigned
Aug 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shameka Chante Knotts
Title
Owner
Phone
(704) 326-2116

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary
Substance Abuse Rehabilitation Facility 324500000X
Prevention ProfessionalGroup: 193200000X MULTI-SPECIALTY GROUP 405300000X

Addresses

Primary practice location

9900 Poplar Tent Rd Ste 1153061
Concord, NC 28027-9502

Mailing address

PO Box 5835
Concord, NC 28027-1513

National Provider Directory

National Provider Directory

Locations

9900 Poplar Tent Rd
Ste 1153061
Concord, NC 28027
Phone (704) 262-1163

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1871376434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5835",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280271513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 POPLAR TENT RD STE 1153061",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280279502",
            "telephone_number": "704-262-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS WORTHY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "KNOTTS",
        "authorized_official_first_name": "SHAMEKA",
        "authorized_official_middle_name": "CHANTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-326-2116"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.