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PERSONAL HOME CARE OF NORTH CAROLINA, LLC
NPI 1063367662
In Home Supportive Care in Mt Holly, NC

Active since February 28, 2026CLIA 34D2001627 · Waiver
16 OAK GROVE ST STE 1, MT HOLLY, NC 28120(704) 827-0772 Get Directions Write a Review

NPPES record last updated: February 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Personal Home Care Of North Carolina, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERSONAL HOME CARE OF NORTH CAROLINA, LLC (NPI 1063367662) is a healthcare organization registered as an in home supportive care in Mt Holly, North Carolina and active in the NPI registry since February 2026. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Ivan Belov, Director, as its authorized official.

NPPES Registry Identity

NPI1063367662
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NamePERSONAL HOME CARE OF NORTH CAROLINA, LLC
Location Address16 OAK GROVE ST STE 1Mt Holly, NC 28120-1655
Mailing Address1515 Mockingbird Ln Ste 520Charlotte, NC 28209-3297 · (704) 522-6144 · Fax (704) 522-6144
Phone(704) 827-0772
Organization SubpartNo
Authorized OfficialIvan BelovDirector · (704) 522-6144
Enumeration DateFebruary 28, 2026
NPPES CertifiedFebruary 28, 2026
✔ NPI 1063367662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
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.
16 OAK GROVE ST STE 1, Mt Holly, NC 28120
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2001627

Personal Home Care Of North Carolina, LLC · Charlotte, NC
Active · expires Dec 22, 2027
CLIA Number34D2001627
Laboratory TypeHome Health Agency
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorKierstin Hunt
Laboratory Phone(704) 522-6144
Laboratory LocationPersonal Home Care Of North Carolina, LLC1515 Mockingbird Lane Ste 520 B, Charlotte, NC 28209
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Personal Home Care Of North Carolina, LLC's NPI number?

The NPI number for Personal Home Care Of North Carolina, LLC is 1063367662. It was assigned to this organization in the NPPES registry on February 28, 2026.

Where is Personal Home Care Of North Carolina, LLC located?

Personal Home Care Of North Carolina, LLC is located at 16 Oak Grove St Ste 1, Mt Holly, NC 28120. The listed phone number is (704) 827-0772.

What is Personal Home Care Of North Carolina, LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Does Personal Home Care Of North Carolina, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2001627) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Personal Home Care Of North Carolina, LLC was last updated on February 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.