Active NPI
Pruitthealth - Rockingham, LLC
Doing business as PruittHealth - Rockingham
- Skilled Nursing Facility
- Rockingham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NH0427
- Legal business name
- PRUITTHEALTH - ROCKINGHAM, LLC
- Doing business as
- PruittHealth - Rockingham
- Practice address
- 804 S Long Dr
Rockingham, NC 28379-4318 - Phone
- (910) 997-4493
- Fax
- (910) 997-4083
- NPI assigned
- Oct 15, 2014
- Last updated
- Oct 15, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Neil L. Pruitt Jr.
- Title
- Chairman and Ceo of Manager
- Phone
- (770) 279-6200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NH0427 | NC | Primary |
Addresses
Primary practice location
804 S Long Dr
Rockingham, NC 28379-4318
Mailing address
1626 Jeurgens CT
Norcross, GA 30093-2219
Phone (770) 279-6200
Other names 1
- PruittHealth - Rockingham
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141219000983 | NC | Part A Provider - Skilled Nursing Facility | 9032432265 | Practice locations: Rockingham, NC |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1033513320. Details of each certification follow.
Skilled nursing facility certification: CCN 345378
- Legal name
- PRUITTHEALTH - ROCKINGHAM, LLC
- Doing business as
- PRUITTHEALTH - ROCKINGHAM
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 21, 1991
- Last certification
- Feb 24, 2025
- Beds
- 120
- Ownership / control type
- Corporation
- Organization structure
- LLC
- Incorporated
- Nov 24, 2009 in NC
- Enrollment address
- 804 S Long Dr
Rockingham, NC 28379-4318 - Nursing home name
- PRUITTHEALTH-ROCKINGHAM
- Affiliated entity
- PRUITTHEALTH
Care Compare: Nursing home
Medicare Care Compare- Listed as
- PruittHealth-Rockingham
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jun 21, 1991
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- Pruitthealth
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D0916195 | Pruitthealth - Rockingham, LLC | Certificate of waiver | Jun 17, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 12
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| United Health Services Inc | 5% Or Greater Indirect Ownership Interest | Nov 24, 2009 | 99% |
| Marissa Olarte-Helbing | W-2 Managing Employee | Mar 21, 2022 | 100% |
| Pruitthealth Inc | Operational/Managerial Control | Nov 24, 2009 | 99% |
| Lisa P Hamby Trust | 5% Or Greater Indirect Ownership Interest | Nov 24, 2009 | 28.71% |
| Neil Little Pruitt | Corporate Officer | Nov 24, 2009 | 100% |
| Corporate Director | Nov 24, 2009 | 100% | |
| Operational/Managerial Control | Nov 24, 2009 | 100% | |
| Other | Nov 24, 2009 | 100% | |
| Dustin Hoang | W-2 Managing Employee | Apr 29, 2021 | 100% |
| Neil L Pruitt Jr Trust | 5% Or Greater Indirect Ownership Interest | Nov 24, 2009 | 35.57% |
| NWP 2020 Child TR Fbo Neil L Pruitt Jr | Other | May 31, 2022 | 5.32% |
| Kimberly L Lapointe | W-2 Managing Employee | Jun 21, 2021 | 100% |
| United Health Services of North Carolina Inc | 5% Or Greater Direct Ownership Interest | Nov 24, 2009 | 99% |
| Uhs-Pruitt Holdings, Inc. | 5% Or Greater Indirect Ownership Interest | Nov 24, 2009 | 99% |
| J Paige Pruitt Trust | 5% Or Greater Indirect Ownership Interest | Nov 24, 2009 | 26.91% |
Facilities with the same owner 122
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba PruittHealth - Carolina Point
- Skilled Nursing Facility
- Durham, NC
- NPI 1518112036
J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, United Health Services Inc, United Health Services of North Carolina Inc
-
dba PruittHealth - Crystal Coast
- Skilled Nursing Facility
- Beaufort, NC
- NPI 1023358991
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 North Carolina Inc
-
dba PruittHealth - Durham
- Skilled Nursing Facility
- Durham, NC
- NPI 1447435722
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 North Carolina Inc
-
dba PruittHealth - Elkin
- Skilled Nursing Facility
- Elkin, NC
- NPI 1245287762
J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, United Health Services Inc, United Health Services of North Carolina Inc
-
dba PruittHealth - Neuse
- Skilled Nursing Facility
- New Bern, NC
- NPI 1245285253
J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Pruitthealth Inc, Uhs-Pruitt Holdings, Inc., United Health Services Inc, United Health Services of North Carolina Inc
-
dba PruittHealth - Raleigh
- Skilled Nursing Facility
- Raleigh, NC
- NPI 1730136250
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 North Carolina Inc
-
dba PruittHealth - Town Center
- Skilled Nursing Facility
- Harrisburg, NC
- NPI 1700833233
J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Pruitthealth Inc, Uhs-Pruitt Holdings, Inc., United Health Services Inc, United Health Services of North Carolina Inc
-
dba PruittHealth - Trent
- Skilled Nursing Facility
- New Bern, NC
- NPI 1851348379
J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Pruitthealth Inc, Uhs-Pruitt Holdings, Inc., United Health Services Inc, United Health Services of North Carolina Inc
-
dba PruittHealth @ Home - Wake
- Home Health Agency
- Raleigh, NC
- NPI 1073883450
J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Uhs-Pruitt Holdings, Inc., United Health Services Inc
-
dba PruittHealth @ Home - Brunswick
- Home Health Agency
- Leland, NC
- NPI 1255704292
J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Pruitthealth Inc, United Health Services Inc
-
dba PruittHealth @ Home - Forsyth
- Home Health Agency
- Kernersville, NC
- NPI 1568984656
J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Uhs-Pruitt Holdings, Inc., United Health Services Inc
-
dba PruittHealth @ Home - Pilot Mountain
- Home Health Agency
- Pilot Mountain, NC
- NPI 1598004723
J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Pruitthealth Inc, Uhs-Pruitt Holdings, Inc., United Health Services Inc
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Physical Medicine & Rehabilitation Physician
- Winston Salem, NC
- NPI 1437108610
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413331200000",
"number": "1033513320",
"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": "804 S LONG DR",
"city": "ROCKINGHAM",
"state": "NC",
"postal_code": "283794318",
"telephone_number": "910-997-4493",
"fax_number": "910-997-4083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRUITTHEALTH - ROCKINGHAM, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-15",
"last_updated": "2014-10-15",
"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 OF MANAGER",
"authorized_official_telephone_number": "770-279-6200",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NC",
"license": "NH0427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PruittHealth - Rockingham",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rockingham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.