The Oaks of Blythewood, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NCF0959 Issued in SC

Legal business name

THE OAKS OF BLYTHEWOOD, INC.

Doing business as

PruittHealth - Blythewood

Practice address

1075 Heather Green Drive
Columbia, SC 29229-0000

Phone

(803) 382-2300

Fax

(803) 382-2301

NPI assigned

Mar 24, 2010

Last updated

Jan 25, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Neil L. Pruitt Jr.

Title

Chairman and Ceo

Phone

(770) 279-6200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PruittHealth - Blythewood Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013231794. Details of each certification follow.

• CCN 425400 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 425400

Legal name

THE OAKS OF BLYTHEWOOD, INC.

Doing business as

PRUITTHEALTH- BLYTHEWOOD

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 3, 2010

Last certification

Oct 4, 2024

Beds

120

Ownership / control type

Corporation

Multi-facility organization

PRUITT HEALTH

Organization structure

CorporationProprietary

Incorporated

Sep 29, 2006 in SC

Enrollment address

1075 Heather Green Dr
Columbia, SC 29229-7831

Nursing home name

PRUITTHEALTH- BLYTHEWOOD

Affiliated entity

PRUITTHEALTH

Listed as

PruittHealth- BlythewoodCCN 425400 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

2 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Nov 3, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

120113.7 residents per day on average

Chain

Pruitthealth95 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

Locations

Networks

• SC HMO

All disclosed owners & managing parties 9

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

Facilities with the same owner 121

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

• Pruitthealth - Aiken, LLC

  dba PruittHealth - Aiken

  • Skilled Nursing Facility
  • Aiken, SC
  • NPI 1679786917

  J Paige Pruitt Trust, United Health Services Inc, United Health Services of South Carolina Inc

  CMS ownership
• Pruitthealth - Bamberg, LLC

  dba PruittHealth - Bamberg

  • Skilled Nursing Facility
  • Bamberg, SC
  • NPI 1104063718

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Pruitthealth Inc, United Health Services Inc, United Health Services of South Carolina Inc

  CMS ownership
• Pruitthealth - Barnwell, LLC

  dba PruittHealth - Barnwell

  • Skilled Nursing Facility
  • Barnwell, SC
  • NPI 1962729632

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, United Health Services Inc, United Health Services of South Carolina Inc

  CMS ownership
• Pruitthealth - Columbia, LLC

  dba PruittHealth - Columbia

  • Skilled Nursing Facility
  • Columbia, SC
  • NPI 1790732212

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, United Health Services Inc, United Health Services of South Carolina Inc

  CMS ownership
• Pruitthealth - Conway, LLC

  dba PruittHealth - Conway at Conway Medical Center

  • Skilled Nursing Facility
  • Conway, SC
  • NPI 1124595863

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Uhs- Pruitt Holdings Inc, United Health Services Inc, United Health Services of South Carolina Inc

  CMS ownership
• Pruitthealth - Dillon, LLC

  dba PruittHealth - Dillon

  • Skilled Nursing Facility
  • Dillon, SC
  • NPI 1639125198

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, United Health Services Inc, United Health Services of South Carolina Inc

  CMS ownership
• Pruitthealth - Moncks Corner LLC

  dba PruittHealth - Moncks Corner

  • Skilled Nursing Facility
  • Moncks Corner, SC
  • NPI 1700074564

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, United Health Services Inc, United Health Services of South Carolina Inc

  CMS ownership
• Pruitthealth - North Augusta LLC

  dba PruittHealth - North Augusta

  • Skilled Nursing Facility
  • North Augusta, SC
  • NPI 1790951192

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, United Health Services Inc, United Health Services of South Carolina Inc

  CMS ownership
• Pruitthealth - Orangeburg, LLC

  dba PruittHealth - Orangeburg

  • Skilled Nursing Facility
  • Orangeburg, SC
  • NPI 1013917053

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Pruitthealth Inc, United Health Services Inc, United Health Services of South Carolina Inc

  CMS ownership
• Pruitthealth - Pickens, LLC

  dba PruittHealth - Pickens

  • Skilled Nursing Facility
  • Six Mile, SC
  • NPI 1073789475

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, United Health Services Inc, United Health Services of South Carolina Inc

  CMS ownership
• Pruitthealth - Rock Hill, LLC

  dba PruittHealth - Rock Hill

  • Skilled Nursing Facility
  • Rock Hill, SC
  • NPI 1992752414

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Pruitthealth Inc, United Health Services Inc, United Health Services of South Carolina Inc

  CMS ownership
• Pruitthealth - Walterboro, LLC

  dba PruittHealth - Walterboro

  • Skilled Nursing Facility
  • Walterboro, SC
  • NPI 1386691806

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, United Health Services Inc, United Health Services of South Carolina Inc

  CMS ownership

Affiliated clinicians 3

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

• Binyue Chang, M.D.

  • Internal Medicine Physician
  • Lexington, SC
  • NPI 1427497817

  Nursing home

  Care Compare affiliation
• Conigliaro Jones, MD

  • Family Medicine Physician
  • Columbia, SC
  • NPI 1811967458

  Nursing home

  Care Compare affiliation
• Dennis Tambe Besong, M.D.

  • Family Medicine Physician
  • Riverhead, NY
  • NPI 1639514532

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1013231794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 JEURGENS CT",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932219",
            "telephone_number": "770-279-6200",
            "fax_number": "770-931-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 HEATHER GREEN DRIVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292290000",
            "telephone_number": "803-382-2300",
            "fax_number": "803-382-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OAKS OF BLYTHEWOOD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-24",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHAIRMAN AND CEO",
        "authorized_official_telephone_number": "770-279-6200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SC",
            "license": "NCF0959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NF1012",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PruittHealth - Blythewood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Columbia, SC
• Providers in Columbia, SC by specialty
• Skilled Nursing Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.