Organization Active NPI

Pruitthealth - Conway, LLC

Doing business as PruittHealth - Conway at Conway Medical Center

  • Skilled Nursing Facility
  • Conway, SC
National Provider Identifier
1124595863
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PRUITTHEALTH - CONWAY, LLC
Doing business as
PruittHealth - Conway at Conway Medical Center
Practice address
2379 Cypress Cir
Conway, SC 29526-8921
Phone
(843) 347-8179
NPI assigned
Oct 31, 2018
Last updated
May 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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 Primary

Addresses

Primary practice location

2379 Cypress Cir
Conway, SC 29526-8921

Mailing address

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

Other names 1

  • PruittHealth - Conway at Conway Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181207000980 SC Part A Provider - Skilled Nursing Facility 4880938414 Practice locations: Conway, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124595863. Details of each certification follow.

Skilled nursing facility certification: CCN 425173

Legal name
PRUITTHEALTH - CONWAY, LLC
Doing business as
PRUITTHEALTH - CONWAY AT CONWAY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 16, 1989
Last certification
May 13, 2025
Beds
88
Ownership / control type
Corporation
Multi-facility organization
PruittHealth
Organization structure
LLCProprietary
Incorporated
Sep 4, 2018 in SC
Enrollment address
2379 Cypress Cir
Conway, SC 29526-8921
Nursing home name
PRUITTHEALTH- CONWAY AT CONWAY MEDICAL CENTER
Affiliated entity
PRUITTHEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
PruittHealth- Conway At Conway Medical CenterCCN 425173 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 16, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8880.7 residents per day on average
Chain
Pruitthealth95 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D1006866Pruitthealth - Conway, LLC2379 Cypress Circle, Conway, SC 29526Certificate of waiverDec 2, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Uhs- Pruitt Holdings Inc Organization, Norcross, GA Corporation, Holding company 5% Or Greater Indirect Ownership Interest Sep 4, 2018 100%
Indirect Ownership Interest Sep 4, 2019 99%
Organization, Norcross, GA Adp of the SNF Aug 12, 2020
Indirect Ownership Interest Aug 12, 2020 6.29%
Organization, Norcross, GA Indirect Ownership Interest Aug 12, 2020 2.4%
United Health Services Inc Organization, Norcross, GA Corporation, Holding company 5% Or Greater Indirect Ownership Interest Sep 4, 2018 99%
Indirect Ownership Interest Sep 4, 2018 99%
Organization, Norcross, GA Adp of the SNF Aug 18, 2020
Indirect Ownership Interest Aug 18, 2020 1.59%
Individual Adp of the SNF Nov 27, 2013
Philip W. Small Individual Corporate DirectorDirector Nov 27, 2013
Individual Adp of the SNF Nov 11, 2019
Lisa P Hamby Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Jun 22, 2021 21.44%
Adp of the SNF Jun 22, 2021
Indirect Ownership Interest Jun 22, 2021 21.44%
Neil Little Pruitt Individual Corporate OfficerChairman and Ceo Nov 27, 2013 1%
Direct Ownership Interest Nov 27, 2013 1%
Individual Adp of the SNF Nov 27, 2013
United Health Services of South Carolina Inc Organization, Norcross, GA Corporation, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 4, 2018 99%
Direct Ownership Interest Sep 4, 2018 99%
Neil L Pruitt Jr Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Jun 22, 2021 42.86%
Adp of the SNF Jun 22, 2021
Indirect Ownership Interest Jun 22, 2021 42.86%
NWP 2020 Child TR Fbo Neil L Pruitt Jr Organization, Norcross, GA Indirect Ownership Interest Aug 12, 2020 6.29%
Organization, Norcross, GA Corporation Adp of the SNF Oct 8, 2018
Indirect Ownership Interest Apr 12, 2024
Cindy Robbins Individual Operational/Managerial Control Sep 23, 2024
Adp of the SNF Mar 28, 2025
Nancy W Pruitt Individual Corporate OfficerSecretary/Director Nov 27, 2013
Individual Adp of the SNF Mar 28, 2025
Pruitthealth Consulting Services Inc Organization, Norcross, GA Corporation Adp of the SNF Nov 26, 2013
J Paige Pruitt Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Jun 22, 2021 21.44%
Adp of the SNF Jun 22, 2021
Indirect Ownership Interest Jun 22, 2021 21.44%

Facilities with the same owner 121

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

View all 121

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": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1124595863",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2379 CYPRESS CIR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268921",
            "telephone_number": "843-347-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITTHEALTH - CONWAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2019-05-29",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PruittHealth - Conway at Conway Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PruittHealth - Conway at Conway Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.