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NPI Code Detail

MEDICARE: CAROMONT SERIOUS ILLNESS PARTNERS, LLC

MEDICARE: CAROMONT SERIOUS ILLNESS PARTNERS, 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
1315D00000XInpatient Hospice
2251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1780419523
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAROMONT SERIOUS ILLNESS PARTNERS, LLC
Provider Business Mailing Address
First Line : 3975 ROBINSON RD
Second Line :
City : NEWTON
State : NC
Zip : 28658-9715
Country : US
Telephone Number : 828-466-0466
Fax Number : 828-466-8862
Provider Business Practice Location Address
First Line : 2240 REMOUNT RD
Second Line :
City : GASTONIA
State : NC
Zip : 28054-4725
Country : US
Telephone Number : 704-861-8405
Fax Number : 704-865-0590
Authorized Official
Title or Position : INTERIM CEO
Name : CHRISTINA ABBOTT MCNALLY
Credential :
Telephone Number : 828-466-0466
Provider Enumeration Date : 09/03/2024
Last Update Date : 12/17/2025

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