Organization Active NPI

North Carolina Personal Care Services LLC

Doing business as North Carolina Personal Care Services

  • In Home Supportive Care Agency
  • Greensboro, NC
National Provider Identifier
1770180150
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
NORTH CAROLINA PERSONAL CARE SERVICES LLC
Doing business as
North Carolina Personal Care Services
Practice address
411 Parkway St Ste D
Greensboro, NC 27401-1644
Phone
(336) 604-0770
Fax
(336) 604-0752
NPI assigned
Oct 8, 2020
Last updated
Oct 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Authorized official

Name
Mrs. Chiva Ledawn Jennings, MHA
Title
Agency Director and Owner
Phone
(336) 858-9944

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Home Infusion Agency 251F00000X NU
Nursing Care Agency 251J00000X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

411 Parkway St Ste D
Greensboro, NC 27401-1644

Mailing address

411 Parkway St Ste D
Greensboro, NC 27401-1644
Phone (336) 604-0770

Other identifiers 1

IdentifierTypeStateIssuer
1770180150MedicaidNC

Other names 1

  • North Carolina Personal Care Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Cloud Health Information Exchange (HIE) North Carolina Personal Care Services LLC

National Provider Directory

National Provider Directory

Locations

1515 W Cornwallis Dr
Ste G102
Greensboro, NC 27408

1806 Pembroke Rd
Ste 2A
Greensboro, NC 27408

411 Parkway St
Ste D
Greensboro, NC 27401
Phone (336) 604-0770

1589 Skeet Club Rd
Ste 102115
High Point, NC 27265

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1770180150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 PARKWAY ST STE D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011644",
            "telephone_number": "336-604-0770",
            "fax_number": "336-604-0752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 PARKWAY ST STE D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011644",
            "telephone_number": "336-604-0770",
            "fax_number": "336-604-0752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAROLINA PERSONAL CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "CHIVA",
        "authorized_official_middle_name": "LEDAWN",
        "authorized_official_title_or_position": "AGENCY DIRECTOR AND OWNER",
        "authorized_official_telephone_number": "336-858-9944",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770180150",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Cloud",
            "affiliation": "Y",
            "endpointDescription": "Microsoft Azure Cloud",
            "affiliationName": "North Carolina Personal Care Services LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "application/octet-stream",
            "address_1": "411 Parkway St Ste D",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274011644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "North Carolina Personal Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 14, 2025; 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.