Active NPI
Pruitthealth-Ridgeway LLC
Doing business as PruittHealth - Ridgeway
- Skilled Nursing Facility
- Ridgeway, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NCF710
- 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, 2026
- 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
- Neil L Pruitt Jr.
- Title
- Chairman and Ceo of Manager
- Phone
- (770) 279-6200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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- Ridgeway
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jul 25, 1989
- Medicare certification status
- Active
- Certified beds
- 150
- Chain
- Pruitthealth
National Provider Directory
National Provider DirectoryOwnership & 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.
| 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% |
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 - Pickens
- Skilled Nursing Facility
- Six Mile, SC
- NPI 1073789475
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
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; 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.