NPI 1215803606

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

216 Newkirk Rd
Burgaw, NC 28425-2636

Phone

(910) 300-6128

Fax

(910) 300-6128

NPI assigned

Oct 14, 2025

Organization subpart

No

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

Authorized official

Name

Carolyn Denise Carr-GreenNPI 1023777844

Title

Administator/ Owner

Phone

(910) 300-6128

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carolyn Denise Carr-Green

  • In Home Supportive Care Agency
  • Burgaw, NC
  • NPI 1023777844
  NPD Authorized official

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1215803606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 NEWKIRK RD",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284252636",
            "telephone_number": "910-300-6128",
            "fax_number": "910-300-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 NEWKIRK RD",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284252636",
            "telephone_number": "910-300-6128",
            "fax_number": "910-300-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "CARR-GREEN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "ADMINISTATOR/ OWNER",
        "authorized_official_telephone_number": "910-300-6128"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Harbor of Hope
• Jennifer Mott Absher
• Laura Michelle Allen, PT
• Suzanne Tara Avant, PTA
• Andrew James Aylett, OTR, CHT

• Non-emergency Medical Transport (VAN) in Burgaw, NC
• Providers in Burgaw, NC by specialty
• Non-emergency Medical Transport (VAN) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.