Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carolina Supportive Living LLC

Organization Community Health Worker · NPI 1821929365

Carolina Supportive Living LLC is a Community Health Worker in Old Fort, North Carolina. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1259 E Main St
Old Fort, NC 28762-5768
Phone: (828) 470-8642
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1821929365
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Omecia Ponder — Owner · (828) 747-5978
NPI enumeratedMay 26, 2026
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026
Mailing address1259 E Main St, Old Fort, NC 28762-5768