Petersburg Home Care Services Llc, NPI 1386623700
Home Health Agency in Petersburg, VA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1386623700
NPI Entity Type Organization
Provider Name Petersburg Home Care Services Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 601 Old Wagner Rd Bldg A, Petersburg, VA, US
Provider Mailing Address 9510 Ormsby Station Rd, Ste 300, Louisville, KY, US, 402234081
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name MR. Nicholas Gachassin III
Official Position SECRETARY/TREASURER
Phone 501-891-1044

Primary Taxonomy

Taxonomy Code

251E00000X

Taxonomy Name Home Health Agency
Classification

Home Health

Group

Agencies

License No. 497072
License State VA
Description 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 organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Other Organization Name

Southside Regional Home Health
Doing Business As

Business Address

Petersburg Home Care Services Llc
601 Old Wagner Rd Bldg A

Petersburg, VA, US

Phone: 804-862-8345
Fax: 804-862-3461

Mailing Address

Petersburg Home Care Services Llc
9510 Ormsby Station Rd
Ste 300
Louisville, KY, US
ZIP 402234081
Phone: 502-891-1187
Fax: 502-891-8067

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