Pruitthealth - Ridgeway, LLC
Organization Active NPI Skilled Nursing Facility · Ridgeway, SC
NPI 1104865138 · NPPES record last updated Jul 7, 2014
Key facts
- NPI
- 1104865138
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- NCF710 (SC)
- Legal business name
- PRUITTHEALTH - RIDGEWAY, LLC
- Practice address
- 213 Tanglewood Court
Ridgeway, SC 29130-7100 - Phone
- (803) 337-3211
- Fax
- (803) 337-8124
- NPI assigned
- Jun 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Neil L Pruitt Jr.
- Title
- Chairman and Ceo of Manager
- Phone
- (770) 279-6200
Facilities with the same owner 122
Medicare Care Compare: Nursing home
- Listed as
- PruittHealth- Ridgeway
- 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
- Active
- Certified beds
- 150 · 128.0 residents per day on average
- Chain
- Pruitthealth
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
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
- LLC · Proprietary
- Incorporated
- Sep 17, 2007 in SC
- Enrollment address
- 213 Tanglewood CT
Ridgeway, SC 29130-7100 - Nursing home name
- PRUITTHEALTH- RIDGEWAY
- Affiliated entity
- PRUITTHEALTH
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| United Health Services Inc |
5% Or Greater Indirect Ownership Interest | Oct 28, 2008 | 99% |
| Pruitthealth Inc |
Other | Sep 27, 2007 | |
| Lisa P Hamby Trust |
5% Or Greater Indirect Ownership Interest | Oct 28, 2008 | 33% |
| Neil Little Pruitt |
Operational/Managerial Control | Sep 27, 2007 | |
| Other |
Sep 27, 2007 | ||
| United Health Services of South Carolina Inc |
5% Or Greater Direct Ownership Interest | Sep 27, 2007 | 99% |
| Neil L Pruitt Jr Trust |
5% Or Greater Indirect Ownership Interest | Oct 28, 2008 | 33% |
| Karen Phillips |
W-2 Managing Employee |
Dec 8, 2017 | |
| Uhs-Pruitt Holdings, Inc. |
5% Or Greater Indirect Ownership Interest | Oct 28, 2008 | 99% |
| J Paige Pruitt Trust |
5% Or Greater Indirect Ownership Interest | Oct 28, 2008 | 33% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060501000082 | SC | Part a Provider - Skilled Nursing Facility | 9234149626 | Practice locations: Ridgeway, SC |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NCF710 | SC | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0124NH | Medicaid | SC |
Other names
- PruittHealth - Ridgeway
Other providers in Ridgeway, SC
- Joshua'S Foundation Inc.
- Christy Monica Kennedy
- Nurse Practitioner Solutions, LLC
- Sharrell Tonya Odom
- Lakeisha T Peay
- Jandrette Atayae Rhoe
- Ridgeway Manor Healthcare Center LLC
- Kimberly D Smith
- Bonita Street
- The Autism Behavior Connection LLC
All providers in Ridgeway, SC · Skilled Nursing Facility in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.