NPIMap

Organization Active NPI

Personal Home Care of North Carolina, LLC

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1699811935
Registry record updated Nov 20, 2019
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
1515 Mockingbird LN Ste 520
Charlotte, NC 28209-3297
Phone
(704) 522-6144
Fax
(704) 522-6145
NPI assigned
Jan 30, 2007
Last updated
Nov 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Authorized official

Name
Mr. Ivan Belov
Title
Director
Phone
(704) 522-6144

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC2481 NC
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

1515 Mockingbird LN Ste 520
Charlotte, NC 28209-3297

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574208000000",
    "number": "1699811935",
    "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 520",
            "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": "2007-01-30",
        "last_updated": "2019-11-20",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2481",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.