PERSONAL HOME CARE OF NORTH CAROLINA, LLC (NPI# 1699811935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699811935 |
| Entity Type | Organization |
| Organization Name | PERSONAL HOME CARE OF NORTH CAROLINA, LLC |
| Practice 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 | 2007-01-30 |
| Last Update Date | 2019-11-20 |
| Authorized Official Name | MR. IVAN BELOV (DIRECTOR) |
| Authorized Official Telephone | 7045226144 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | HC2481 | NC | Agencies |
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| 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 |
| 1578759577 | Personal Home Care of North Carolina, LLC | Nursing Care | 1515 Mockingbird Ln Ste 520b, Charlotte, NC 28209-3297 | 2007-09-24 |
| 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 520 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28209-3297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457482317 | Personal Home Care of North Carolina, LLC | Home Health | 1515 Mockingbird Ln Ste 520, Charlotte, NC 28209 | 2007-03-09 |
| 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 | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811573 | Innovative Home Assistance LLC | In Home Supportive Care | 8501 Tower Point Dr Ste B40, Charlotte, NC 28227-7849 | 2020-11-02 |
| 1417555848 | Fumani Investment LLC | In Home Supportive Care | 4822 Albemarle Rd Ste 280-b, Charlotte, NC 28205-6668 | 2020-10-16 |
| 1447858493 | Concept of Care Inc | In Home Supportive Care | 5115 Osage Cir, Charlotte, NC 28269-4693 | 2020-10-13 |
| 1992311427 | Astounding Healthcare | In Home Supportive Care | 10931-d7 E. Independent Boulevard, Charlotte, NC 28204-2820 | 2020-09-21 |
| 1881208668 | Selfless Servants Home Care LLC | In Home Supportive Care | 520 E Hebron St Ste A-4, Charlotte, NC 28273-5989 | 2020-08-31 |
| 1619580552 | Devera Moore Camp | In Home Supportive Care | 2329 The Plz, Charlotte, NC 28205-2403 | 2020-08-29 |
| 1073125217 | Reference Home Care, LLC | In Home Supportive Care | 3406 June Dr, Charlotte, NC 28205-7114 | 2020-08-19 |
| 1316558067 | New Horizon Home Care LLP | In Home Supportive Care | 5736 N Tryon St Ste 227d, Charlotte, NC 28213-0820 | 2020-08-14 |
| 1285245514 | Family First Healthcare LLC | In Home Supportive Care | 4921 Albemarle Rd Ste 114, Charlotte, NC 28205-6654 | 2020-08-11 |
| 1780294389 | Funke Yenrin Amanah | In Home Supportive Care | 3555 N Sharon Amity Rd Ste 201, Charlotte, NC 28205-8993 | 2020-08-07 |
| Find all providers in CHARLOTTE | ||||
Please comment or provide details below to improve the information on PERSONAL HOME CARE OF NORTH CAROLINA, LLC.
| 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.