NPIMap

Organization Active NPI

Southern Ohio Medical Center

  • Home Health Agency
  • Portsmouth, OH
National Provider Identifier
1790716553
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SOUTHERN OHIO MEDICAL CENTER
Practice address
2201 25TH St
Portsmouth, OH 45662-3259
Phone
(740) 356-5600
Fax
(740) 353-5956
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Authorized official

Name
Mr. Ben Gill
Title
Ceo
Phone
(740) 356-8847

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2201 25TH St
Portsmouth, OH 45662-3259

Mailing address

2201 25TH St
Portsmouth, OH 45662-3259
Phone (740) 356-7050

Other identifiers 1

IdentifierTypeStateIssuer
0050288MedicaidOH

Other names 1

  • SOMC Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100615000212 OH Part A Provider - Home Health Agency 8325043383 Practice locations: Portsmouth, OH

Home health agency certification: CCN 367087

Legal name
SOUTHERN OHIO MEDICAL CENTER
Doing business as
SOMC HOME HEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 1, 1966
Last certification
Nov 8, 2018
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Jan 22, 1954 in OH
Enrollment address
2201 25TH St
Portsmouth, OH 45662-3259
HHA Branch

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Somc Home Health ServicesCCN 367087
Overall star rating
3 of 5
Ownership
Non-Profit
Certified
Sep 1, 1966
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Somc Pharmacy Wheelersburg17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Elie M Saab Individual Corporate DirectorDirector Jan 1, 2021
Gary Duzan Individual Corporate DirectorDirector Jul 1, 2009
Robert Dever Individual Corporate DirectorDirector Jul 1, 2009
Ben Gill Individual Corporate OfficerCeo Jan 1, 2019
David Fowler Individual Corporate DirectorDirector Jul 1, 2009
Tom Reiser Individual Corporate DirectorDirector Jan 1, 2021
Dean a Wray Individual Corporate OfficerCfo, VP of Finance Mar 26, 2012
W-2 Managing Employee Apr 6, 2018
George Lawson Individual Corporate DirectorDirector Jul 1, 2009
Claudia L Burchett Individual Corporate OfficerOfficer Mar 26, 2012
Randal Arnett Individual Corporate DirectorDirector Jul 1, 2009
Kara Plummer Individual Corporate OfficerVice President Jan 1, 2021
Becky Thiel Individual Corporate DirectorDirector Jan 1, 2021
Steven Conley Individual Corporate DirectorDirector Jul 1, 2009
Vicki Noel Individual Corporate OfficerOfficer Mar 26, 2012
David K Byers Individual Corporate DirectorDirector Jan 1, 2021
Matthew Miller Individual Corporate DirectorBoard of Directors Jan 1, 2021
Tanya Jana C Escalona Individual Corporate DirectorDirector Jan 1, 2021
Kendall L Stewart Individual Corporate OfficerOfficer Mar 26, 2012

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 42

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

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1790716553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 25TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623259",
            "telephone_number": "740-356-7050",
            "fax_number": "740-356-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 25TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623259",
            "telephone_number": "740-356-5600",
            "fax_number": "740-353-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OHIO MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-356-8847",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0050288",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOMC Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.