Carolina Supportive Living LLC
Organization Active NPI Non-emergency Medical Transport (VAN) · Old Fort, NC
NPI 1245179019 · NPPES record last updated Jul 7, 2026
Key facts
- NPI
- 1245179019
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- Legal business name
- CAROLINA SUPPORTIVE LIVING LLC
- Practice address
- 1259 E Main St
Old Fort, NC 28762-5768 - Phone
- (828) 470-8642
- NPI assigned
- Mar 26, 2026
- Organization subpart
- No
Authorized official
- Name
- Omecia Margaritta Ponder
- Title
- Owner/Administrator
- Phone
- (828) 747-5978
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Carolina Supportive Living LLC
Locations
1259 E Main St
Old Fort, NC 28762
Phone (828) 470-8642
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | Yes |
Addresses
Primary practice location
1259 E Main St
Old Fort, NC 28762-5768
Mailing address
1259 E Main St
Old Fort, NC 28762-5768
Phone (828) 470-8642
Other providers in Old Fort, NC
- Sonja M. Allison
- Tiffany Renee Beam
- Jossalin Davis Bouchillon
- Sheyenne Branch
- Asadra Sue Brown
- Carolina Supportive Living LLC
- Sean M Carter
- Katherine Alice Cennamo
- Shawn Kudrik Costanzo
- Kerry Dalton
All providers in Old Fort, NC · Non-emergency Medical Transport (VAN) in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.