Organization Active NPI

Pruitthealth - Rockingham, LLC

Doing business as PruittHealth - Rockingham

  • Skilled Nursing Facility
  • Rockingham, NC
National Provider Identifier
1033513320
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0427 Issued in NC
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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-RockinghamCCN 345378 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 21, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12075.3 residents per day on average
Chain
Pruitthealth95 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0916195Pruitthealth - Rockingham, LLC804 South Long Drive, Rockingham, NC 28379Certificate of waiverJun 17, 2028

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
United Health Services Inc Organization, Norcross, GA For-profit 5% Or Greater Indirect Ownership Interest Nov 24, 2009 99%
Marissa Olarte-Helbing Individual W-2 Managing EmployeeFacility Administrator Mar 21, 2022 100%
Pruitthealth Inc Organization, Toccoa, GA For-profit Operational/Managerial Control Nov 24, 2009 99%
Lisa P Hamby Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Nov 24, 2009 28.71%
Neil Little Pruitt Individual Corporate OfficerChairman and Ceo Nov 24, 2009 100%
Corporate DirectorChairman and Ceo Nov 24, 2009 100%
Operational/Managerial ControlChain Home Office Administrator Nov 24, 2009 100%
OtherCho Administrator Nov 24, 2009 100%
Dustin Hoang Individual W-2 Managing EmployeeFacility Administrator Apr 29, 2021 100%
Neil L Pruitt Jr Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Nov 24, 2009 35.57%
NWP 2020 Child TR Fbo Neil L Pruitt Jr Organization, Norcross, GA Other May 31, 2022 5.32%
Kimberly L Lapointe Individual W-2 Managing EmployeeFacility Administrator Jun 21, 2021 100%
United Health Services of North Carolina Inc Organization, Norcross, GA For-profit 5% Or Greater Direct Ownership Interest Nov 24, 2009 99%
Uhs-Pruitt Holdings, Inc. Organization, Norcross, GA For-profit 5% Or Greater Indirect Ownership Interest Nov 24, 2009 99%
J Paige Pruitt Trust Organization, Norcross, GA 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.

View all 122

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

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

Verify at the official NPI Registry.