Active NPI
Personal Homecare Inc
Doing business as 1st Care At Home
- In Home Supportive Care Agency
- South Hill, VA
National Provider Identifier
1881773638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- PERSONAL HOMECARE INC
- Doing business as
- 1st Care At Home
- Practice address
- 860 N Mecklenburg Ave
South Hill, VA 23970 - Phone
- (434) 447-8820
- Fax
- (434) 447-8823
- NPI assigned
- Nov 3, 2006
- Last updated
- Nov 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alfred Lee Burkholder III
- Title
- Administrator
- Phone
- (434) 572-1582
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | ||
| Home Health Agency | 251E00000X | NU | ||
| Nursing Care Agency | 251J00000X | NU | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | VA | ||
| Respite Care | 385H00000X | VA | ||
| Child Mental Illness Respite Care | 385HR2055X | NU | ||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | NU | ||
| Child Physical Disabilities Respite Care | 385HR2065X | NU | ||
| Emergency Response System Companies | 333300000X | NU | ||
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
860 N Mecklenburg Ave
South Hill, VA 23970
Mailing address
860 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 447-8820
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009119868 | Other | VA | MEDICAID |
| 008751013 | Medicaid | VA |
Other names 1
- 1st Care At Home
National Provider Directory
National Provider Directory- Tax ID family
- 1St Care at Home
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
dba 1st Care at Home
- In Home Supportive Care Agency
- South Boston, VA
- NPI 1114006962
-
dba 1st Care At Home
- In Home Supportive Care Agency
- Lynchburg, VA
- NPI 1396839312
-
dba 1st Care At Home
- In Home Supportive Care Agency
- South Boston, VA
- NPI 1063805166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700438400000",
"number": "1881773638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 N MECKLENBURG AVE",
"city": "SOUTH HILL",
"state": "VA",
"postal_code": "23970",
"telephone_number": "434-447-8820",
"fax_number": "434-447-8823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 N MECKLENBURG AVE",
"city": "SOUTH HILL",
"state": "VA",
"postal_code": "23970",
"telephone_number": "434-447-8820",
"fax_number": "434-447-8823"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERSONAL HOMECARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-03",
"last_updated": "2023-11-20",
"certification_date": "2023-11-20",
"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_suffix": "III"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "VA",
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "VA",
"license": null,
"primary": false
},
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "333300000X",
"taxonomy_group": "",
"desc": "Emergency Response System Companies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "009119868",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008751013",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "1st Care At Home",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in South Hill, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.