PERSONAL HOME CARE OF NORTH CAROLINA, LLC (NPI# 1578759577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578759577 |
| Entity Type | Organization |
| Organization Name | PERSONAL HOME CARE OF NORTH CAROLINA, LLC |
| Practice Address |
1515 Mockingbird Ln Ste 520b Charlotte NC 28209-3297 |
| Mailing Address |
1515 Mockingbird Ln Ste 520 Charlotte NC 28209-3297 |
| Practice Telephone | 7045226144 |
| Practice Fax Number | 7045226145 |
| Mailing Telephone | 7045226144 |
| Mailing Fax Number | 7045226145 |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2019-11-20 |
| Authorized Official Name | IVAN BELOV (DIRECTOR) |
| Authorized Official Telephone | 7045226144 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | HC2481 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7100607 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073702437 | Personal Home Care of North Carolina, LLC | Home Health | 2460 India Hook Rd Ste 201g, Rock Hill, SC 29732-3532 | 2007-10-22 |
| 1699811935 | Personal Home Care of North Carolina, LLC | Home Health | 1515 Mockingbird Ln Ste 520, Charlotte, NC 28209-3297 | 2007-01-30 |
| 1225369846 | Personal Home Care of North Carolina, LLC | Home Health | 1515 Mockingbird Ln Ste 520b, Charlotte, NC 28209-3297 | 2010-01-21 |
| 1457482317 | Personal Home Care of North Carolina, LLC | Home Health | 1515 Mockingbird Ln Ste 520, Charlotte, NC 28209 | 2007-03-09 |
| Street Address |
1515 MOCKINGBIRD LN STE 520B |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28209-3297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225369846 | Personal Home Care of North Carolina, LLC | Home Health | 1515 Mockingbird Ln Ste 520b, Charlotte, NC 28209-3297 | 2010-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382200 | Christopher Joseph Malara | Occupational Therapy Assistant | 3600 Park Rd, Charlotte, 28209, Nc, Charlotte, NC 28209 | 2019-05-23 |
| 1982187571 | Elizabeth Black Smith | Dietitian, Registered | 5821 Fairview Road, Suite 216, Charlotte, NC 28209 | 2018-09-11 |
| 1235611690 | Shearer Counseling Services Pllc | Counselor | 5200 Park Road Ste 200-3, Charlotte, NC 28209 | 2018-09-02 |
| 1942796396 | Wade Medical Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 4400 Park Rd Unit 315, Charlotte, NC 28209 | 2018-07-09 |
| 1750803672 | Stephanie Rindner | Behavior Technician | 716 Marsh Road, Charlotte, NC 28209 | 2017-07-12 |
| 1861939621 | Carolinas Healthcare System | General Acute Care Hospital | 3329 Weston St, Charlotte, NC 28209 | 2017-01-31 |
| 1275943011 | Cameron Cunningham | Anesthesiology | 1515 Mockingbird Ln Ste 680, Charlotte, NC 28209 | 2014-05-02 |
| 1013299205 | Digital Ultrasound Associates | Spec/Tech, Cardiovascular | 4450 South Blvd Suite 4, Charlotte, NC 28209 | 2011-09-13 |
| 1801117676 | Rosemary Nmi Lucas | Physical Therapist | 2910 Selwyn Ave #359, Charlotte, NC 28209 | 2010-06-16 |
| 1194049767 | Frances Massey Harley | Speech-Language Pathologist | 715 Hartford Avenue, Sedgefield Elementary School, Charlotte, NC 28209 | 2010-03-25 |
| Find all providers in zip 28209 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629602099 | Compassion Nursing & Home Care | Nursing Care | 2015 Shorthorn St, Charlotte, NC 28213-5255 | 2020-02-25 |
| 1437794922 | Delacy C LLC | Nursing Care | 3623 Latrobe Dr Ste 215, Charlotte, NC 28211-4885 | 2019-11-08 |
| 1073155842 | M&k Bieman Enterprises, LLC | Nursing Care | 4822 Albemarle Rd Ste 280-a, Charlotte, NC 28205-6668 | 2019-10-14 |
| 1568940013 | Mm Home Care, LLC | Nursing Care | 1233 W Morehead St Ste A, Charlotte, NC 28208-5213 | 2018-08-06 |
| 1780117317 | Angels From Heaven Home Care LLC | Nursing Care | 4921 Albemarle Rd Suite 110, Charlotte, NC 28205 | 2017-04-10 |
| 1508301185 | Victory Home Health Care, LLC | Nursing Care | 8501 Tower Point Dr, Charlotte, NC 28227-7849 | 2017-01-05 |
| 1053866608 | Better Days Family Support, Inc. | Nursing Care | 212 N Mcdowell St, Ste. 112, Charlotte, NC 28204-2276 | 2016-08-23 |
| 1558710921 | Bethel Homecare Inc | Nursing Care | 5500 Executive Center Dr Ste 214, Charlotte, NC 28212-8864 | 2016-06-07 |
| 1942683446 | Your Health and Wellness Company, Inc. | Nursing Care | 2920 N Tryon St Ste 212, Charlotte, NC 28206-2761 | 2015-07-01 |
| 1962899161 | Executive Healthcare Services | Nursing Care | 10710 Old Bridge Ln, Charlotte, NC 28269-8159 | 2015-04-25 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.