NPIMap

Organization Active NPI

Pruitthealth - Southwood, LLC

  • Skilled Nursing Facility
  • Tallahassee, FL
National Provider Identifier
1053944116
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PRUITTHEALTH - SOUTHWOOD, LLC
Practice address
2301 Bluff Oak Way
Tallahassee, FL 32311-6161
Phone
(850) 204-3485
NPI assigned
Feb 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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
Phone
(770) 279-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2301 Bluff Oak Way
Tallahassee, FL 32311-6161

Mailing address

1626 Jeurgens Court
Legal Dept
Norcross, GA 30093
Phone (770) 279-6200

Other names 1

  • PruittHealth - SouthWood Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.pruitthealth.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200519000013 FL Part A Provider - Skilled Nursing Facility 1759712177 Practice locations: Tallahassee, FL

Skilled nursing facility certification: CCN 106140

Legal name
PRUITTHEALTH - SOUTHWOOD, LLC
Doing business as
PRUITTHEALTH - SOUTHWOOD
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
May 28, 2020
Last certification
Apr 11, 2024
Beds
101
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Pruitthealth, Inc.
Organization structure
LLCProprietary
Incorporated
Oct 16, 2014 in FL
Enrollment address
2301 Bluff Oak Way
Tallahassee, FL 32311-6161
Nursing home name
PRUITTHEALTH - SOUTHWOOD
Affiliated entity
PRUITTHEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pruitthealth - SouthwoodCCN 106140
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 28, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10192.9 residents per day on average
Chain
Pruitthealth95 facilities in the chain
Penalties (3 years)
1Fines totaling $6,380

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Uhs- Pruitt Holdings Inc Organization, Norcross, GA Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Oct 16, 2014 99%
United Health Services Inc Organization, Norcross, GA Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Oct 16, 2014 99%
Pruitthealth Inc Organization, Toccoa, GA Corporation, For-profit Other Oct 16, 2014
Pruitthealth-North Central Florida,LLC Organization, Norcross, GA LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Oct 16, 2014 99%
United Health Services of Florida, Inc Organization, Norcross, GA Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Oct 16, 2014 99%
Lisa P Hamby Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Oct 16, 2014 31.74%
Neil Little Pruitt Individual Corporate OfficerChairman and Ceo Oct 16, 2014 100%
Corporate DirectorChairman and Ceo Oct 16, 2014 100%
OtherCho Administrator Oct 16, 2014 100%
Neil L Pruitt Jr Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Oct 16, 2014 37.03%
Kevin R Ruffing Individual W-2 Managing EmployeeFacility Administrator Jun 21, 2021 100%
J Paige Pruitt Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Oct 16, 2014 29.09%

Facilities with the same owner 121

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

View all 121

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1053944116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 JEURGENS COURT",
            "address_2": "LEGAL DEPT",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "30093",
            "telephone_number": "770-279-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 BLUFF OAK WAY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323116161",
            "telephone_number": "850-204-3485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITTHEALTH - SOUTHWOOD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "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_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.pruitthealth.com",
            "affiliation": "N",
            "endpointDescription": "Internal Server",
            "address_1": "2301 Bluff Oak Way",
            "city": "Tallahassee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323116161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PruittHealth - SouthWood",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PruittHealth - SouthWood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.