Organization Active NPI

Pruitthealth-Ridgeway LLC

Doing business as PruittHealth - Ridgeway

  • Skilled Nursing Facility
  • Ridgeway, SC
National Provider Identifier
1104865138
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NCF710 Issued in SC
Legal business name
PRUITTHEALTH-RIDGEWAY LLC
Doing business as
PruittHealth - Ridgeway
Practice address
213 Tanglewood Court
Ridgeway, SC 29130-7100
Phone
(803) 337-3211
Fax
(803) 337-8124
NPI assigned
Jun 5, 2006
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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 NCF710 SC Primary

Addresses

Primary practice location

213 Tanglewood Court
Ridgeway, SC 29130-7100

Mailing address

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

Other names 1

  • PruittHealth - Ridgeway Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060501000082 SC Part A Provider - Skilled Nursing Facility 9234149626 Practice locations: Ridgeway, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104865138. Details of each certification follow.

Skilled nursing facility certification: CCN 425288

Legal name
PRUITTHEALTH- RIDGEWAY LLC
Doing business as
PRUITTHEALTH-RIDGEWAY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 25, 1989
Last certification
Jan 28, 2025
Beds
150
Ownership / control type
Corporation
Multi-facility organization
Pruitt Health
Organization structure
LLCProprietary
Incorporated
Sep 17, 2007 in SC
Enrollment address
213 Tanglewood CT
Ridgeway, SC 29130-7100
Nursing home name
PRUITTHEALTH- RIDGEWAY
Affiliated entity
PRUITTHEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
PruittHealth- RidgewayCCN 425288 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 25, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
150128.0 residents per day on average
Chain
Pruitthealth95 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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 Oct 28, 2008 99%
Pruitthealth Inc Organization, Norcross, GA Corporation, For-profit Other Sep 27, 2007
Lisa P Hamby Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Oct 28, 2008 33%
Neil Little Pruitt Individual Operational/Managerial Control Sep 27, 2007
OtherChain Home Office Administrator Sep 27, 2007
United Health Services of South Carolina Inc Organization, Norcross, GA For-profit 5% Or Greater Direct Ownership Interest Sep 27, 2007 99%
Neil L Pruitt Jr Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Oct 28, 2008 33%
Karen Phillips Individual W-2 Managing EmployeeAdministrator Dec 8, 2017
Uhs-Pruitt Holdings, Inc. Organization, Norcross, GA For-profit 5% Or Greater Indirect Ownership Interest Oct 28, 2008 99%
J Paige Pruitt Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Oct 28, 2008 33%

Facilities with the same owner 122

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

View all 122

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1104865138",
    "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": "213 TANGLEWOOD COURT",
            "city": "RIDGEWAY",
            "state": "SC",
            "postal_code": "291307100",
            "telephone_number": "803-337-3211",
            "fax_number": "803-337-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITTHEALTH-RIDGEWAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "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": "SC",
            "license": "NCF710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PruittHealth - Ridgeway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ridgeway, SC

Sources for this page

Verify at the official NPI Registry.