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Organization Active NPI

United Home Care Inc

  • Assisted Living Facility
  • Cleveland, GA
National Provider Identifier
1124066865
Registry record updated Feb 19, 2008
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Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
154-190 Issued in GA
Legal business name
UNITED HOME CARE INC
Practice address
471 S Main St
Suite B
Cleveland, GA 30528-1409
Phone
(706) 219-4799
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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
Phone
(770) 279-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 154-190 GA Primary

Addresses

Primary practice location

471 S Main St
Suite B
Cleveland, GA 30528-1409

Mailing address

211 E Doyle St
Toccoa, GA 30577-2960
Phone (706) 886-8493

Other names 1

  • United home Care of Cleveland Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050527000374 GA Part A Provider - Home Health Agency 9032151246 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gainesville, GA; Blue Ridge, GA

Home health agency certification: CCN 117129

Legal name
PRUITTHEALTH HOME HEALTH, INC.
Doing business as
PRUITTHEALTH HOME HEALTH - GAINESVILLE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 2, 1999
Last certification
Oct 18, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 12, 1999 in GA
Enrollment address
2545 Flintridge Rd
Ste 110
Gainesville, GA 30501-7428

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Pruitthealth at Home - GainesvilleCCN 117129
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Dec 2, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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 Created for acquisition, For-profit 5% Or Greater Indirect Ownership Interest Jan 2, 2006
Rita Southworth Individual W-2 Managing EmployeeAdministrator Aug 13, 2015
Philip W. Small Individual Corporate DirectorDirector Oct 5, 2016
Pruitthealth Inc Organization, Toccoa, GA Operational/Managerial Control Jan 7, 2008
Lisa P Hamby Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Jan 2, 2006
Neil Little Pruitt Individual Corporate OfficerChairman and Ceo Jan 2, 2006 100%
Corporate DirectorChairman and Ceo Jan 2, 2006
OtherCho Administrator Jan 2, 2006 100%
Neil L Pruitt Jr Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Jan 2, 2006
Nancy W Pruitt Individual Corporate OfficerSecretary Apr 12, 1999
Uhs-Pruitt Holdings, Inc. Organization, Norcross, GA For-profit 5% Or Greater Indirect Ownership Interest Jan 2, 2006
Thomas R Beddingfield Individual Corporate DirectorDirector Oct 5, 2016 100%
United Health Services of Georgia, Inc. Organization, Toccoa, GA 5% Or Greater Direct Ownership Interest Jan 7, 2008
J Paige Pruitt Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Jan 2, 2006

Practitioners & affiliated clinicians

Affiliated clinicians 79

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 79

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1124066865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E DOYLE ST",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305772960",
            "telephone_number": "706-886-8493",
            "fax_number": "706-827-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 S MAIN ST",
            "address_2": "SUITE B",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "305281409",
            "telephone_number": "706-219-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2008-02-19",
        "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_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": "154-190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United home Care of Cleveland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, GA

Sources for this page

Verify at the official NPI Registry.