NPIMap

Organization Active NPI

Petersburg Home Care Services LLC

Doing business as Southside Regional Home Health

  • Home Health Agency
  • Petersburg, VA
National Provider Identifier
1386623700
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
497072 Issued in VA
Legal business name
PETERSBURG HOME CARE SERVICES LLC
Doing business as
Southside Regional Home Health
Practice address
43 Rives Rd Ste 2
Petersburg, VA 23805-9255
Phone
(804) 862-8345
Fax
(804) 862-3461
NPI assigned
Jan 13, 2006
Last updated
Jul 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joshua L. Proffitt
Title
President
Phone
(337) 233-1307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 497072 VA Primary

Addresses

Primary practice location

43 Rives Rd Ste 2
Petersburg, VA 23805-9255

Mailing address

901 Hugh Wallis Rd S
Lafayette, LA 70508-2511
Phone (337) 233-1307

Other names 1

  • Southside Regional Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090616000359 VA Part A Provider - Home Health Agency 3476603382 Practice locations: Petersburg, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386623700. Details of each certification follow.

Home health agency certification: CCN 497072

Legal name
PETERSBURG HOME CARE SERVICES LLC
Doing business as
SOUTHSIDE REGIONAL HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 10, 1986
Last certification
Jul 8, 2015
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Aug 19, 2008 in DE
Enrollment address
43 Rives Rd
Ste 2
Petersburg, VA 23805-9255

Care Compare: Home health agency

Medicare Care Compare
Listed as
Southside Regional Home HealthCCN 497072 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jul 10, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2001995Petersburg Home Care Services LLC Dba43 Rives Road, Suite 2, Petersburg, VA 23805Certificate of waiverJan 4, 2028

National Provider Directory

National Provider Directory

Locations

3233 Boulevard
Ste C
Colonial Hgts, VA 23834
Phone (804) 520-4676

210 Medical Park Blvd
Ste 225
Petersburg, VA 23805
Phone (804) 765-5379

43 Rives Rd
Ste 2
Petersburg, VA 23805
Phone (804) 862-8345

601 Old Wagner Rd
Bldg A
Petersburg, VA 23805
Phone (804) 862-8345

10501 S Crater Rd
South Prince George, VA 23805
Phone (804) 862-8345

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Feb 22, 2023 100%
Marcus Donavon Macip Individual Corporate OfficerSecretary Feb 22, 2023
Kimberly Seymour Individual Corporate OfficerTreasurer Feb 22, 2023
Wendy S Daigle Individual Corporate DirectorDirector of Licensure & Reg Affairs Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Nov 1, 2020 100%
Sheilia Sasser Individual W-2 Managing Employee Nov 23, 2020
Afam Holding Co II, LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Nov 1, 2020 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident Apr 30, 2018
Almost Family, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Nov 1, 2020 100%
National Health Industries, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Apr 1, 2018 80%
Afam Sub I LLC Organization, Lafayette, LA LLC 5% Or Greater Indirect Ownership Interest Nov 1, 2020 20%
Amy Cormier Individual Corporate DirectorDirector of Managed Care May 1, 2025

Facilities with the same owner 111

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 111

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 15

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1386623700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 HUGH WALLIS RD S",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705082511",
            "telephone_number": "337-233-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 RIVES RD STE 2",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059255",
            "telephone_number": "804-862-8345",
            "fax_number": "804-862-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSBURG HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-13",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "497072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southside Regional Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southside Regional Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Petersburg, VA

Sources for this page

Verify at the official NPI Registry.