Healthcare Provider Details

I. General information

NPI: 1780419523
Provider Name (Legal Business Name): CAROMONT SERIOUS ILLNESS PARTNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2024
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2240 REMOUNT RD
GASTONIA NC
28054-4725
US

IV. Provider business mailing address

3975 ROBINSON RD
NEWTON NC
28658-9715
US

V. Phone/Fax

Practice location:
  • Phone: 704-861-8405
  • Fax: 704-865-0590
Mailing address:
  • Phone: 828-466-0466
  • Fax: 828-466-8862

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA ABBOTT MCNALLY
Title or Position: INTERIM CEO
Credential:
Phone: 828-466-0466