Southside Regional Home Health

LBN: Petersburg Home Care Services Llc
Southside Regional Home Health is an health care organization with primary practice located at 601 Old Wagner Rd Bldg A , Petersburg VA 23805-9313. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Petersburg Home Care Services Llc can be contacted via phone (804) 862-8345, or through Gachassin, Nicholas via phone (501) 891-1044.

Contact Information

Primary practice address
601 Old Wagner Rd Bldg A Petersburg VA 23805-9313
Phone: (804) 862-8345
Fax: (804) 862-3461
Website:
Map and Directions
Authorized official contact:
Name: Gachassin, Nicholas
Phone: (501) 891-1044

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 497072 Virginia

Profile Details

NPI number 1386623700
LBN Legal business name Petersburg Home Care Services Llc
DBA Doing business as Southside Regional Home Health
Authorized official Gachassin, Nicholas
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2006
Last updated May 3rd, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386623700 NPPES
Virginia MEDICAID 4970721

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