Organization
PERSONAL HOME CARE OF NORTH CAROLINA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN BELOV (DIRECTOR)
(704) 522-6144
Entity
Organization
Contact information
Practice address
111B N HOFFMAN ST, DALLAS, NC 28034-1597
(704) 522-6144
(704) 522-6145
Mailing address
1515 MOCKINGBIRD LN STE 520, CHARLOTTE, NC 28209-3297
(704) 522-6144
(704) 522-6145
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
HC2481
NC
253Z00000X
In Home Supportive Care Agency
Primary
HC2481
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100607
—
NC
Enumeration date
09/24/2007
Last updated
02/28/2026
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