Active NPI
Pruitthealth - Pickens, LLC
Doing business as PruittHealth - Pickens
- Skilled Nursing Facility
- Six Mile, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NCF580
- 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, 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
- Mr. Neil L. Pruitt Jr.
- Title
- Chairman and Ceo
- Phone
- (770) 279-6200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0580NH | Medicaid | SC |
Other names 1
- PruittHealth - Pickens
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 - Pickens
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Apr 11, 1991
- Medicare certification status
- Active
- Certified beds
- 44
- Chain
- Pruitthealth
- Penalties (3 years)
- 1
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 |
|---|---|---|---|
| 42D0706553 | Pruitthealth - Pickens, LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Kayla L Armstrong | Operational/Managerial Control | Mar 2, 2020 | |
| Adp of the SNF | Mar 18, 2026 | ||
| Kenesha V D'Andrade | Operational/Managerial Control | Nov 10, 2024 | |
| Adp of the SNF | Sep 24, 2025 | ||
| Kirpich Joseph | Operational/Managerial Control | Jun 5, 2020 | |
| Adp of the SNF | Mar 18, 2026 | ||
| Adp of the SNF | Aug 12, 2020 | ||
| Indirect Ownership Interest | Aug 12, 2020 | 6.29% | |
| Adp of the SNF | Jun 1, 2008 | ||
| United Health Services Inc | 5% Or Greater Indirect Ownership Interest | Apr 16, 2008 | 100% |
| Indirect Ownership Interest | Nov 27, 2013 | 100% | |
| Heritage Properties of Pickens, Inc | 5% Or Greater Indirect Ownership Interest | Apr 10, 2008 | 100% |
| Adp of the SNF | Apr 10, 2008 | ||
| Indirect Ownership Interest | Apr 10, 2008 | 100% | |
| Indirect Ownership Interest | Aug 12, 2020 | 2.4% | |
| Adp of the SNF | Nov 11, 2019 | ||
| Philip W. Small | Managing Control - Governing Body | Jan 3, 2011 | |
| Adp of the SNF | Jan 14, 2025 | ||
| Indirect Ownership Interest | Jan 14, 2025 | 1.59% | |
| Lisa P Hamby Trust | 5% Or Greater Indirect Ownership Interest | Jun 5, 2003 | 21.44% |
| Adp of the SNF | Jun 5, 2003 | ||
| Neil Little Pruitt | 5% Or Greater Direct Ownership Interest | Nov 27, 2013 | 1% |
| Direct Ownership Interest | Nov 27, 2013 | 1% | |
| Adp of the SNF | Aug 5, 2011 | ||
| United Health Services of South Carolina Inc | 5% Or Greater Direct Ownership Interest | Dec 1, 2008 | 99% |
| Direct Ownership Interest | Dec 1, 2008 | 99% | |
| Neil L Pruitt Jr Trust | 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 | Indirect Ownership Interest | Aug 12, 2020 | 2.4% |
| Nancy W Pruitt | Managing Control - Governing Body | May 5, 2024 | |
| Pruitthealth Consulting Services Inc | Adp of the SNF | Nov 26, 2013 | |
| Uhs-Pruitt Holdings, Inc. | 5% Or Greater Indirect Ownership Interest | Apr 16, 2008 | 100% |
| Adp of the SNF | Apr 17, 2025 | ||
| J Paige Pruitt Trust | 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.
-
- Family Medicine Physician
- Lilburn, GA
- NPI 1750373023
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 122
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba PruittHealth - Aiken
- Skilled Nursing Facility
- Aiken, SC
- NPI 1679786917
J Paige Pruitt Trust, Uhs-Pruitt Holdings, Inc., United Health Services Inc, United Health Services of South Carolina Inc
-
dba PruittHealth - Bamberg
- Skilled Nursing Facility
- Bamberg, SC
- NPI 1104063718
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
-
dba PruittHealth - Barnwell
- Skilled Nursing Facility
- Barnwell, SC
- NPI 1962729632
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
-
dba PruittHealth - Columbia
- Skilled Nursing Facility
- Columbia, SC
- NPI 1790732212
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
-
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, United Health Services Inc, United Health Services of South Carolina Inc
-
dba PruittHealth - Dillon
- Skilled Nursing Facility
- Dillon, SC
- NPI 1639125198
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
-
dba PruittHealth - Estill
- Skilled Nursing Facility
- Estill, SC
- NPI 1174504203
Uhs-Pruitt Holdings, Inc.
-
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, Uhs-Pruitt Holdings, Inc., United Health Services Inc, United Health Services of South Carolina Inc
-
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, Uhs-Pruitt Holdings, Inc., United Health Services Inc, United Health Services of South Carolina Inc
-
dba PruittHealth - Orangeburg
- Skilled Nursing Facility
- Orangeburg, SC
- NPI 1013917053
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
-
dba PruittHealth - Ridgeway
- Skilled Nursing Facility
- Ridgeway, SC
- NPI 1104865138
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
-
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, Uhs-Pruitt Holdings, Inc., United Health Services Inc, United Health Services of South Carolina Inc
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.