Organization · Type 2 NPI

Petersburg Home Care Services LLC

Home Health Agency · Petersburg, VA

NPI number 1386623700 Active

Practice location

43 Rives Rd Ste 2
Petersburg, VA 23805-9255

Call (804) 862-8345 Map

Fax (804) 862-3461

Mailing address

901 Hugh Wallis Rd S
Lafayette, LA 70508-2511

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	497072 (VA)

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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NPI record

NPI: 1386623700
Entity type: Organization (Type 2)
Issued: Jan 13, 2006
Last updated: Jul 15, 2026
Status: Active

Other names

<unavail>
Southside Regional Home Health · doing business as
Southside Regional Home Health · doing business as

Authorized official

Joshua L. Proffitt
President
(337) 233-1307

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1386623700

Petersburg Home Care Services LLC's National Provider Identifier is 1386623700, issued on Jan 13, 2006. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Petersburg, VA. The record was last updated on Jul 15, 2026.