Healthcare Provider Details

I. General information

NPI: 1386479988
Provider Name (Legal Business Name): CAROLINA CARING SERIOUS ILLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2024
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3975 ROBINSON RD
NEWTON NC
28658-9715
US

IV. Provider business mailing address

3975 ROBINSON RD
NEWTON NC
28658-9715
US

V. Phone/Fax

Practice location:
  • Phone: 828-466-0466
  • Fax: 828-466-8862
Mailing address:
  • Phone: 828-466-0466
  • Fax: 828-466-8862

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number
License Number StateNULL

VIII. Authorized Official

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