Pruitthealth Hospice, Inc.
Organization Active NPI Community Based Hospice Care Agency · Rocky Mount, NC
NPI 1003853516 · NPPES record last updated May 29, 2025
Key facts
- NPI
- 1003853516
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- PRUITTHEALTH HOSPICE, INC.
- Practice address
- 301 S Church St Ste 135
Rocky Mount, NC 27804-5721 - Phone
- (252) 442-9126
- Fax
- (252) 442-9580
- NPI assigned
- Jun 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Neil L Pruitt Jr.
- Title
- Chairman and Ceo
- Phone
- (770) 279-6200
Other NPIs on the same Medicare enrollment 5
Other NPIs with the same Medicare PAC ID 17
Corporate family (same tax ID) 24
Facilities with the same owner 123
Practitioners 48
-
Ashley Brimmer, FNP-C
-
Casi P Gilmer, FNP
-
Nneka Adline Nweke, FNP
-
Ginger Parrish Warren, APRN, FNP-BC, DNP
-
Valorie M Bogue, NP-C
-
Rosa Credle, FNP
-
Linda Diane Patrone, FNP
-
Kathryn Jean Gill, AGACNP-BC
-
Lauren Thompson Meadows, DNP, FNP-C
-
Kristina M Ostby, APRN, FNP-C
-
Allison Thomas, AGACNP-BC
-
Richard Winters, M.D.
-
Debra Denise Arthur Turner, AGNP-C
-
Ama Browne, NP
-
Stacey Lynn Childress, AGPCNP
-
Cynthia Jill Martin Clark, FNP-C
-
Kristin Claude, APRN
-
Kendra Jordan Cook, APRN/NP
-
Jenna M Darby, MSN, FNP
-
Janet Annikki Dits-Rinta-Koski, RN, MSN, AGNP-C
-
Erin Pruitt Drennon, FNP - BC
Affiliated clinicians 18
-
Chetan N Amin, DO
-
Steven Hamstead, M.D.
-
Min-Ji Lee, M.D.
-
Wajeed Masood, M.D.
-
Lalita V Sidana, M.D.
-
Steven Earl Skahill, M.D.
-
Tamas Soos, M.D.
-
Henry Franklin Tripp Jr., M.D.
Medicare Care Compare: Hospice
- Listed as
- Pruitthealth Hospice - Rocky Mount
- Ownership
- For-Profit
- Certified
- Jan 10, 2006
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D1046717 | Pruitthealth Hospice Inc Dba | Certificate of waiver | Oct 16, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC
Hospice certification: CCN 341591
- Legal name
- PRUITTHEALTH HOSPICE INC
- Doing business as
- PRUITTHEALTH HOSPICE - ROCKY MOUNT
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jan 10, 2006
- Last certification
- Feb 20, 2020
- Ownership / control type
- Proprietary - Individual
- Organization structure
- Corporation · Proprietary
- Incorporated
- Oct 14, 1993 in GA
- Enrollment address
- 301 S Church St
Ste 135
Rocky Mount, NC 27804-5721
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Amy D Taylor |
W-2 Managing Employee |
Oct 27, 2013 | |
| United Health Services Inc |
5% Or Greater Indirect Ownership Interest | Jan 2, 2006 | 100% |
| Philip W. Small |
Corporate Director |
Sep 17, 2013 | |
| Pruitthealth Inc |
5% Or Greater Direct Ownership Interest | Jan 1, 2022 | |
| Operational/Managerial Control | Jan 7, 2008 | ||
| Melissa D Whealton |
W-2 Managing Employee | Jan 13, 2015 | |
| Lisa P Hamby Trust |
5% Or Greater Indirect Ownership Interest | Jan 2, 2006 | 31.65% |
| Neil Little Pruitt |
Corporate Officer | Jan 2, 2006 | |
| Corporate Director | Nov 9, 2005 | ||
| Other |
Jan 2, 2006 | ||
| Neil L Pruitt Jr Trust |
5% Or Greater Indirect Ownership Interest | Jan 2, 2006 | 35.93% |
| Nancy W Pruitt |
Corporate Officer |
Jan 2, 2006 | |
| Uhs-Pruitt Holdings, Inc. |
5% Or Greater Indirect Ownership Interest | Jan 2, 2006 | 100% |
| Thomas R Beddingfield |
Corporate Director |
Sep 17, 2013 | |
| United Health Services of Georgia, Inc. |
5% Or Greater Direct Ownership Interest | Jan 2, 2006 | 99% |
| J Paige Pruitt Trust |
5% Or Greater Indirect Ownership Interest | Jan 2, 2006 | 31.32% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051109000318 | NC | Part a Provider - Hospice | 2264344217 |
4 other NPIs on this enrollment Practice locations: Rocky Mount, NC; North Wilkesboro, NC; New Bern, NC; Fayetteville, NC; Greenville, NC |
| O20220810003250 | NC | Part B Supplier - Clinic/Group Practice | 2264344217 |
Receives reassigned benefits from 13 practitioners 4 other NPIs on this enrollment Practice locations: Rocky Mount, NC; North Wilkesboro, NC; New Bern, NC; Greenville, NC; Fayetteville, NC |
National Provider Directory
- Tax ID family
- Pruitthealth Hospice Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician |
207RH0002X | |||
| Community Based Hospice Care Agency | 251G00000X | Yes |
Addresses
Primary practice location
301 S Church St Ste 135
Rocky Mount, NC 27804-5721
Mailing address
1626 Jeurgens Court
Legal Dept
Norcross, GA 30093-2219
Phone (770) 279-6200
Other names
- PruittHealth Hospice and Palliative Care - Triangle
Other providers in Rocky Mount, NC
- Progressive Care Services Inc
- Project Momentum, Inc
- Project Momentum, Inc.
- Providence Care
- Ryan Thomas Pruitt
- Bonnie Przelomski
- Tamara Puddy
- Johnie Pugh
- Cheri Pullen
- Jennifer H Purvis
All providers in Rocky Mount, NC · Community Based Hospice Care Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.