Personal Home Care of North Carolina, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PERSONAL HOME CARE OF NORTH CAROLINA, LLC

Practice address

2685 Celanese Rd Ste 127
Rock Hill, SC 29732-2992

Phone

(803) 659-3350

NPI assigned

Oct 22, 2007

Organization subpart

Yes

Parent organization

PERSONAL HOME CARE OF NORTH CAROLINA, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ivan Belov

Title

Director

Phone

(704) 522-6144

Specialties & licenses 1

Addresses

Other names 1

• PHC Home Healthcare Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Home health agency certification: CCN 427864

Legal name

PERSONAL HOME CARE OF NORTH CAROLINA, LLC

Doing business as

PHC HOME HEALTHCARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 29, 2024

Last certification

Feb 29, 2024

Organization structure

LLCProprietary

Incorporated

Mar 25, 2003 in NC

Enrollment address

2685 Celanese Rd
Ste 127
Rock Hill, SC 29732-2992
HHA Branch

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Personal Home Care of North Carolina, LLC

  • Home Health Agency
  • Charlotte, NC
  • NPI 1225369846

  8628111812

  Same PAC ID
• Personal Home Care of North Carolina, LLC

  • Home Health Agency
  • Cary, NC
  • NPI 1306035076

  8628111812

  Same PAC ID

Listed as

PHC Home HealthcareCCN 427864

Ownership

-

Certified

Feb 29, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Part of

Personal Home Care of North Carolina LLC

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Personal Home Care of North Carolina, LLC

  • In Home Supportive Care Agency
  • Rock Hill, SC
  • NPI 1144175746
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1073702437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 MOCKINGBIRD LN STE 520",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093297",
            "telephone_number": "704-522-6144",
            "fax_number": "704-522-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 CELANESE RD STE 127",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322992",
            "telephone_number": "803-659-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL HOME CARE OF NORTH CAROLINA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PERSONAL HOME CARE OF NORTH CAROLINA, LLC",
        "enumeration_date": "2007-10-22",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A",
        "authorized_official_last_name": "BELOV",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-522-6144"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHC Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Perinatal Insights LLC
• Kimberly A. Perkins, CRNA
• Satianna Perry-Prysock, RBT
• Jamie Perry, ATC
• Jennifer Threatt Perry, M.D.
• Personal Home Care of North Carolina, LLC
• Eric W Peterson, MD
• Acquanita Pettis, LCSW, LISW-CP
• Michelle Petts
• Stephanie Daniella Pezzella

• Home Health Agency in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Home Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.