# PETERSBURG HOME CARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southside Regional Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386623700
- **Authorized official:** JOSHUA L. PROFFITT (PRESIDENT)
- **Authorized official phone:** (337) 233-1307

## Contact information

- **Practice address:** 43 RIVES RD STE 2, PETERSBURG, VA 23805-9255
- **Practice address phone:** (804) 862-8345
- **Practice address fax:** (804) 862-3461
- **Mailing address:** 901 HUGH WALLIS RD S, LAFAYETTE, LA 70508-2511
- **Mailing address phone:** (337) 233-1307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 497072 | VA | Yes |

## Other

- **Enumeration date:** 01/13/2006
- **Last updated:** 07/15/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4970721 | — | VA |