OrganizationActive
Carolina Supportive Living LLC
NPI 1245179019 · Community/Behavioral Health Agency · Old Fort, NC
Carolina Supportive Living LLC is a Community/Behavioral Health Agency organization in Old Fort, NC (NPI 1245179019).
Provider details
- NPI number
- 1245179019
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Omecia Ponder, Owner/Administrator(828) 747-5978
Specialties & taxonomies
Agencies
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1259 E Main St
Old Fort, NC 28762-5768
Phone: (828) 470-8642
Street-level locationGet directions
Mailing address
1259 E Main St
Old Fort, NC 28762-5768
Registry dates
- Enumerated
- 2026-03-26
- Last updated
- 2026-03-26
- Certified
- 2026-03-26
Frequently asked questions
- What is Carolina Supportive Living LLC's NPI number?
- Carolina Supportive Living LLC's National Provider Identifier (NPI) is 1245179019, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Carolina Supportive Living LLC?
- Carolina Supportive Living LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Carolina Supportive Living LLC located?
- Carolina Supportive Living LLC's practice location on file with NPPES is 1259 E Main St, Old Fort, NC 28762-5768.
- What is Carolina Supportive Living LLC's phone number?
- The practice phone number listed in the NPPES registry for Carolina Supportive Living LLC is (828) 470-8642.
- Who is the authorized official for Carolina Supportive Living LLC?
- The authorized official listed on Carolina Supportive Living LLC's NPPES record is Omecia Ponder, Owner/Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Carolina Supportive Living LLC's NPI active?
- Yes — Carolina Supportive Living LLC's NPI (1245179019) is active in the NPPES registry as of the last update on 2026-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.