NPIMap

Organization Active NPI

Personal Homecare Inc

Doing business as 1st Care At Home

  • Nursing Care Agency
  • Lynchburg, VA
National Provider Identifier
1821139379
Registry record updated Sep 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
PERSONAL HOMECARE INC
Doing business as
1st Care At Home
Practice address
2808 Old Forest Road
Lynchburg, VA 24502-2338
Phone
(434) 384-2412
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2023

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

Authorized official

Name
Mr. Alfred Lee Burkholder Jr.
Title
Administrator
Phone
(434) 572-1582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

2808 Old Forest Road
Lynchburg, VA 24502-2338

Mailing address

425 Main Street
South Boston, VA 24592-1006
Phone (434) 572-1028

Other identifiers 1

IdentifierTypeStateIssuer
008751498MedicaidVA

Other names 1

  • 1st Care At Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
1St Care at Home7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694822400000",
    "number": "1821139379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 MAIN STREET",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245921006",
            "telephone_number": "434-572-1028",
            "fax_number": "434-572-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 OLD FOREST ROAD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022338",
            "telephone_number": "434-384-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL HOMECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2023-09-16",
        "certification_date": "2023-09-16",
        "status": "A",
        "authorized_official_last_name": "BURKHOLDER",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "434-572-1582",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008751498",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1st Care At Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2023; 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.