Organization Active NPI

Personal Home Care of North Carolina, LLC

  • In Home Supportive Care Agency
  • Greensboro, NC
National Provider Identifier
1417802018
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Jul 24, 2026

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.