MEDICARE: PERSONAL HOME CARE OF NORTH CAROLINA, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1467025999
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERSONAL HOME CARE OF NORTH CAROLINA, LLC

Provider Business Mailing Address
First Line	:	1515 MOCKINGBIRD LN STE 520
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28209-3297
Country	:	US
Telephone Number	:	704-522-6144
Fax Number	:

Provider Business Practice Location Address
First Line	:	119 SW MAYNARD RD STE 170
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27511-4472
Country	:	US
Telephone Number	:	704-522-6144
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	IVAN BELOV
Credential	:
Telephone Number	:	704-522-6144

Provider Enumeration Date	:	07/22/2021
Last Update Date	:	02/28/2026

Similar Medicare Providers

1821939562 — DENNIS RICHARD WILFRED
Practice Location Address:

119 SW MAYNARD RD STE 200
CARY, NC
27511-4472

Practice Phone: 919-822-8286
Practice Fax:

1568509685 — KENDALL R. CLARK MD
Practice Location Address:

119 SW MAYNARD RD STE 150
CARY, NC
27511-4472

Practice Phone: 919-578-8593
Practice Fax:

1306035076 — PERSONAL HOME CARE OF NORTH CAROLINA, LLC
Practice Location Address:

119 SW MAYNARD RD STE 170A
CARY, NC
27511-4472

Practice Phone: 919-230-7231
Practice Fax:

1235649112 — DESMOND LUCAS
Practice Location Address:

119 SW MAYNARD RD
CARY, NC
27511-4472

Practice Phone: 919-822-8286
Practice Fax:

1588279889 — DR. DEBORAH A BELL
Practice Location Address:

119 SW MAYNARD RD
CARY, NC
27511-4472

Practice Phone: 919-415-1112
Practice Fax:

1295493153 — MRS. ALI-MARIE MURPHY MATTICE LCSW
Practice Location Address:

119 SW MAYNARD RD STE 200
CARY, NC
27511-4472

Practice Phone: 570-854-8532
Practice Fax:

Directions to “PERSONAL HOME CARE OF NORTH CAROLINA, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.