Active NPI
Personal Home Care of North Carolina, LLC
- Home Health Agency
- Charlotte, NC
National Provider Identifier
1225369846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PERSONAL HOME CARE OF NORTH CAROLINA, LLC
- Practice address
- 1515 Mockingbird LN Ste 520B
Charlotte, NC 28209-3297 - Phone
- (704) 522-6144
- Fax
- (704) 522-6145
- NPI assigned
- Jan 21, 2010
- Last updated
- Jul 24, 2026
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NC | Primary |
Addresses
Primary practice location
1515 Mockingbird LN Ste 520B
Charlotte, NC 28209-3297
Mailing address
1515 Mockingbird LN Ste 520
Charlotte, NC 28209-3297
Phone (704) 522-6144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100210000701 | NC | Part A Provider - Home Health Agency | 8628111812 | Practice locations: Charlotte, NC |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1225369846. Details of each certification follow.
Home health agency certification: CCN 347244
- Legal name
- PERSONAL HOME CARE OF NORTH CAROLINA, LLC
- Doing business as
- PHC HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 25, 2010
- Last certification
- Dec 5, 2018
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Enrollment address
- 1515 Mockingbird LN
Ste 520B
Charlotte, NC 28209-3297
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba PHC Home Health
- Home Health Agency
- Cary, NC
- NPI 1306035076
8628111812
-
dba PHC Home Healthcare
- Home Health Agency
- Rock Hill, SC
- NPI 1073702437
8628111812
Care Compare: Home health agency
Medicare Care Compare- Listed as
- PHC Home Health
- Overall star rating
- Ownership
- Proprietary
- Certified
- May 25, 2010
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
1515 Mockingbird Ln
Ste 415A
Charlotte, NC 28209
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Yana Rachinskaya | 5% Or Greater Direct Ownership Interest | Jan 1, 2015 | 33% |
| Ivan Bevlov | 5% Or Greater Direct Ownership Interest | Jan 1, 2015 | 67% |
| General Partnership Interest | Mar 25, 2003 | ||
| W-2 Managing Employee | Jan 20, 2010 |
Practitioners & affiliated clinicians
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784851200000",
"number": "1225369846",
"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": "1515 MOCKINGBIRD LN STE 520B",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282093297",
"telephone_number": "704-522-6144",
"fax_number": "704-522-6145"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERSONAL HOME CARE OF NORTH CAROLINA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-21",
"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": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
- Person Centered Partnerships, Inc. (Amara Wellness)
- Personal Care Services of the Carolinas
- Personal Care Services of the Carolinas 1, LLC
- Personal Elite Homecare LLC
- Personal Enrichment Counseling & Consulting Services, PLLC
- Personal Home Care of North Carolina, LLC
- Personal Home Care of North Carolina, LLC
- Personal Touch Care Team, Inc
- Todd Andrew Personett, DC
- Elena Pertgen
Sources for this page
- 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.