NPIMap

Organization Active NPI

Personal Home Care of North Carolina, LLC

  • In Home Supportive Care Agency
  • Lincolnton, NC
National Provider Identifier
1528257987
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
1446 E Gaston St Ste 103
Lincolnton, NC 28092
Phone
(704) 732-7021
NPI assigned
Oct 22, 2007
Last updated
Jul 24, 2026By the provider in NPPES
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC2786 NC
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1446 E Gaston St Ste 103
Lincolnton, NC 28092

Mailing address

1515 Mockingbird LN Ste 520
Charlotte, NC 28209-3297
Phone (704) 522-6144

National Provider Directory

National Provider Directory
Tax ID family
Personal Home Care of North Carolina LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1515 Mockingbird Ln
Ste 415
Charlotte, NC 28209

NPI Registry JSON

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": "1528257987",
    "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": "1446 E GASTON ST STE 103",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "28092",
            "telephone_number": "704-732-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL HOME CARE OF NORTH CAROLINA, LLC",
        "organizational_subpart": "NO",
        "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": "NC",
            "license": "HC2786",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnton, 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.