Active NPI
Personal Home Care of North Carolina, LLC
- In Home Supportive Care Agency
- Greensboro, NC
National Provider Identifier
1417802018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- PERSONAL HOME CARE OF NORTH CAROLINA, LLC
- Practice address
- 2601 Oakcrest Ave Ste C
Greensboro, NC 27408-4719 - Phone
- (704) 522-6144
- NPI assigned
- Feb 28, 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 |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
2601 Oakcrest Ave Ste C
Greensboro, NC 27408-4719
Mailing address
1515 Mockingbird LN Ste 520
Charlotte, NC 28209-3297
Phone (704) 522-6144
National Provider Directory
National Provider DirectoryLocations
2601 Oakcrest Ave
Ste C
Greensboro, NC 27408
Phone (336) 286-8111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784851200000",
"number": "1417802018",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 OAKCREST AVE STE C",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274084719",
"telephone_number": "704-522-6144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERSONAL HOME CARE OF NORTH CAROLINA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-28",
"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": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.