MEDICARE: NORTH CAROLINA CARE GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1295683613
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH CAROLINA CARE GROUP LLC

Provider Business Mailing Address
First Line	:	PO BOX 1289
Second Line	:
City	:	ANGIER
State	:	NC
Zip	:	27501-1289
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	302 DAVIS GROVE CIR OFC 6012
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27519-2523
Country	:	US
Telephone Number	:	919-986-6850
Fax Number	:

Authorized Official
Title or Position	:	CEO / OWNER
Name	:	PONTUS KARNSUND
Credential	:
Telephone Number	:	919-986-6850

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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