Organization Active NPI

Pruitthealth - Pickens, LLC

Doing business as PruittHealth - Pickens

  • Skilled Nursing Facility
  • Six Mile, SC
National Provider Identifier
1073789475
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NCF580 Issued in SC
Legal business name
PRUITTHEALTH - PICKENS, LLC
Doing business as
PruittHealth - Pickens
Practice address
163 Love and Care Road
Six Mile, SC 29682-9569
Phone
(864) 868-2307
Fax
(864) 868-7813
NPI assigned
May 6, 2008
Last updated
May 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NCF580 SC Primary

Addresses

Primary practice location

163 Love and Care Road
Six Mile, SC 29682-9569

Mailing address

1626 Jeurgens CT
Norcross, GA 30093-2219
Phone (770) 279-6200

Other identifiers 1

IdentifierTypeStateIssuer
0580NHMedicaidSC

Other names 1

  • PruittHealth - Pickens Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090326000413 SC Part A Provider - Skilled Nursing Facility 4789741307 Practice locations: Six Mile, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073789475. Details of each certification follow.

Skilled nursing facility certification: CCN 425306

Legal name
PRUITTHEALTH - PICKENS, LLC
Doing business as
PRUITTHEALTH - PICKENS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 11, 1991
Last certification
Nov 5, 2024
Beds
44
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Apr 16, 2008 in SC
Enrollment address
163 Love and Care Rd
Six Mile, SC 29682-9569
Nursing home name
PRUITTHEALTH - PICKENS
Affiliated entity
PRUITTHEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
PruittHealth - PickensCCN 425306 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 11, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4439.7 residents per day on average
Chain
Pruitthealth95 facilities in the chain
Penalties (3 years)
1Fines totaling $4,271

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
42D0706553Pruitthealth - Pickens, LLC163 Love & Care Road, Six Mile, SC 29682Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Kayla L Armstrong Individual Operational/Managerial Control Mar 2, 2020
Adp of the SNF Mar 18, 2026
Kenesha V D'Andrade Individual Operational/Managerial Control Nov 10, 2024
Adp of the SNF Sep 24, 2025
Kirpich Joseph Individual Operational/Managerial Control Jun 5, 2020
Adp of the SNF Mar 18, 2026
Organization, Norcross, GA Adp of the SNF Aug 12, 2020
Indirect Ownership Interest Aug 12, 2020 6.29%
Individual Adp of the SNF Jun 1, 2008
United Health Services Inc Organization, Norcross, GA Corporation, Holding company 5% Or Greater Indirect Ownership Interest Apr 16, 2008 100%
Indirect Ownership Interest Nov 27, 2013 100%
Heritage Properties of Pickens, Inc Organization, Norcross, GA Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 10, 2008 100%
Adp of the SNF Apr 10, 2008
Indirect Ownership Interest Apr 10, 2008 100%
Organization, Norcross, GA Indirect Ownership Interest Aug 12, 2020 2.4%
Individual Adp of the SNF Nov 11, 2019
Philip W. Small Individual Managing Control - Governing BodyDirector Jan 3, 2011
Organization, Norcross, GA Adp of the SNF Jan 14, 2025
Indirect Ownership Interest Jan 14, 2025 1.59%
Lisa P Hamby Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Jun 5, 2003 21.44%
Adp of the SNF Jun 5, 2003
Neil Little Pruitt Individual 5% Or Greater Direct Ownership InterestCeo Nov 27, 2013 1%
Direct Ownership Interest Nov 27, 2013 1%
Individual Adp of the SNF Aug 5, 2011
United Health Services of South Carolina Inc Organization, Norcross, GA Corporation, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 1, 2008 99%
Direct Ownership Interest Dec 1, 2008 99%
Neil L Pruitt Jr Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Jun 5, 2003 42.86%
Adp of the SNF Jun 5, 2003
NWP 2020 Child TR Fbo Neil L Pruitt Jr Organization, Norcross, GA Indirect Ownership Interest Aug 12, 2020 2.4%
Nancy W Pruitt Individual Managing Control - Governing Body May 5, 2024
Pruitthealth Consulting Services Inc Organization, Norcross, GA Corporation Adp of the SNF Nov 26, 2013
Uhs-Pruitt Holdings, Inc. Organization, Norcross, GA Holding company 5% Or Greater Indirect Ownership Interest Apr 16, 2008 100%
Individual Adp of the SNF Apr 17, 2025
J Paige Pruitt Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Jun 5, 2003 21.44%
Adp of the SNF Jun 5, 2003

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1073789475",
    "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": "163 LOVE AND CARE ROAD",
            "city": "SIX MILE",
            "state": "SC",
            "postal_code": "296829569",
            "telephone_number": "864-868-2307",
            "fax_number": "864-868-7813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITTHEALTH - PICKENS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2014-05-21",
        "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": "NCF580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0580NH",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PruittHealth - Pickens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Six Mile, SC

Sources for this page

Verify at the official NPI Registry.