PERSONAL HOME CARE OF NORTH CAROLINA, LLC – NPI #1417802018
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.

PERSONAL HOME CARE OF NORTH CAROLINA, LLC is an in-home supportive care agency located in WINSTON-SALEM, NC. NPPES has assigned the NPI number 1417802018 to PERSONAL HOME CARE OF NORTH CAROLINA, LLC on February 28, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 253Z00000X from the Health Care Provider Taxonomy code set, which is classified as In Home Supportive Care.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PERSONAL HOME CARE OF NORTH CAROLINA, LLC below.

NPI Profile for
PERSONAL HOME CARE OF NORTH CAROLINA, LLC

NPI Number
1417802018
Enumeration Date

(about 3 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PERSONAL HOME CARE OF NORTH CAROLINA, LLC
Primary location
4400 SILAS CREEK PKWY STE 100
WINSTON-SALEM, NC 27104-3823
Phone: (704) 522-6144 Fax:
Mailing address
1515 MOCKINGBIRD LN STE 520
CHARLOTTE, NC 28209-3297
Phone: (704) 522-6144 Fax:
Organization Subpart
No
Authorized Official
IVAN BELOV
DIRECTOR
Phone: (704) 522-6144
Updated
Certification Date
Feb 28, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
253Z00000X
- In Home Supportive Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.