Healthcare Provider Details

I. General information

NPI: 1336079763
Provider Name (Legal Business Name): CAROLINA NEIGHBORS HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4030 WAKE FOREST RD STE 203
RALEIGH NC
27609-6800
US

IV. Provider business mailing address

1909 CARL WILLIAMSON RD
RALEIGH NC
27610-9747
US

V. Phone/Fax

Practice location:
  • Phone: 919-321-0017
  • Fax: 919-321-0057
Mailing address:
  • Phone: 919-321-0017
  • Fax: 919-321-0057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JOYCE CARTER
Title or Position: AGENCY DIRECTOR/OWNER
Credential: SLP
Phone: 919-321-0017