SOUTHERN OHIO MEDICAL CENTER (NPI# 1790716553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790716553 |
Entity Type | Organization |
Organization Name | SOUTHERN OHIO MEDICAL CENTER |
Other Organization Name | HOME CARE OF SOUTHERN OHIO |
Practice Address |
724 8th Street Portsmouth OH 45662 |
Mailing Address |
1248 Kinneys Ln Portsmouth OH 45662-2927 |
Practice Telephone | 7403565600 |
Practice Fax Number | 7403535956 |
Mailing Telephone | 7403568753 |
Mailing Fax Number | 7403531105 |
Enumeration Date | 2006-07-06 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. DEAN WRAY (VICE PRESIDENT OF FINANCE) |
Authorized Official Telephone | 7403568540 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251E00000X | Home Health | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0050288 | 05 |
Other Name | Type Code |
---|---|
Home Care of Southern Ohio | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053342816 | Southern Ohio Medical Center | Clinical Medical Laboratory | 1805 27th Street, Portsmouth, OH 45662 | 2006-07-06 |
1790397784 | Southern Ohio Medical Center | Pharmacy | 1805 27th St, Portsmouth, OH 45662-2640 | 2020-08-20 |
1962861047 | Southern Ohio Medical Center | Pharmacy | 1248 Kinneys Ln, Portsmouth, OH 45662-2927 | 2016-02-17 |
1366816043 | Southern Ohio Medical Center | Pharmacy | 8770 Ohio River Rd, Wheelersburg, OH 45694-1918 | 2015-11-18 |
1316341373 | Southern Ohio Medical Center | Pharmacy | 1805 27th St, Portsmouth, OH 45662-2640 | 2014-10-20 |
1386059228 | Southern Ohio Medical Center | Pharmacy | 90 Cic Blvd, West Union, OH 45693-8024 | 2014-06-30 |
1174862676 | Southern Ohio Medical Center | Home Health | 207 Plummers Ln, Suite 12, Vanceburg, KY 41179-7683 | 2013-02-05 |
1144578436 | Southern Ohio Medical Center | Psychiatric Unit | 1805 27th St, Portsmouth, OH 45662-2640 | 2012-08-17 |
1760799415 | Southern Ohio Medical Center | General Acute Care Hospital | 1121 Kinneys Ln, Portsmouth, OH 45662-2806 | 2010-09-01 |
1043420755 | Southern Ohio Medical Center | General Acute Care Hospital | 1805 27th St, Portsmouth, OH 45662-2640 | 2007-05-23 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | SOUTHERN OHIO MEDICAL CENTER | 1248 Kinneys Ln, Portsmouth, OH 45662-2927 |
Street Address |
724 8TH STREET |
City | PORTSMOUTH |
State | OH |
Zip Code | 45662 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528613346 | Stacia N Boyer | Nurse Practitioner | 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 | 2019-08-08 |
1487210167 | Rose Speier | Registered Nurse | 920 Gallia Street, Portsmouth, OH 45662 | 2019-05-17 |
1083123491 | Megan Rhea | Case Manager/Care Coordinator | 901 Wahington St, Portsmouth, OH 45662 | 2017-09-28 |
1376061903 | Alanna Lee Reisinger | Physical Therapist | 522 Glenwood Ave., New Boston, OH 45662 | 2017-09-04 |
1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
1629595822 | William Zachary Nance | Counselor | 800 Gallia Street, Suite 600, Portsmouth, OH 45662 | 2017-08-28 |
1962929703 | Melissa Rodbell | Speech-Language Pathologist | 514 Union St., Portsmouth, OH 45662 | 2017-08-23 |
1346604626 | Todd Davis | Counselor | 2954 Walnut St., Portsmouth, OH 45662 | 2016-04-12 |
1083078406 | Gordon Sanders | Counselor | 2954 Walnut Street, Portsmouth, OH 45662 | 2016-04-12 |
1033573910 | Michael L Purdy | Nurse Practitioner | 1735 27th Street Waller Bldg Suite 302, Portsmouth, OH 45662 | 2016-04-07 |
Find all providers in zip 45662 |
Taxonomy Code | 251E00000X |
Grouping | Agencies |
Classification | Home Health |
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. |
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447858345 | Jamie Mehaffey | Home Health | 1605 Kinneys Ln, Portsmouth, OH 45662-3115 | 2020-10-13 |
1356951768 | Hearts of Life | Home Health | 1014 Christiana Cir, Portsmouth, VA 23703-3159 | 2020-07-31 |
1134756372 | Heart Felt Home Health | Home Health | 1505 Des Moines Ave, Portsmouth, VA 23704-4301 | 2020-03-26 |
1922646504 | Homeworksva | Home Health | 200 High St # Uite201, Portsmouth, VA 23704-3721 | 2019-12-14 |
1750928453 | Top Priority Personal Home Care | Home Health | 4424 Winchester Dr # 2, Portsmouth, VA 23707-2825 | 2019-12-02 |
1437792959 | Roz & James,llc | Home Health | 4397 Portsmouth Blvd, Portsmouth, VA 23701 | 2019-10-28 |
1568016210 | A Special Touch Home Health Care, LLC | Home Health | 3026 Tyre Neck Rd Ste I, Portsmouth, VA 23703-4500 | 2019-07-31 |
1780237735 | A Better Way for Seniors, Inc. | Home Health | 10 Vaughan Mall Ste 209, Portsmouth, NH 03801-4047 | 2019-07-18 |
1275192221 | Community Choice, LLC. | Home Health | 7318 Ohio River Rd Ste B, Portsmouth, OH 45662-5665 | 2019-06-12 |
1891258794 | Cassandra Tyson | Home Health | 2355 Elliott Ave Apt B, Portsmouth, VA 23702-1380 | 2019-04-09 |
Find all providers in PORTSMOUTH |
City | PORTSMOUTH |
Zip Code | 45662 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.