Organization Active NPI

Pruitthealth - Spring Valley, LLC

Doing business as PruittHealth - Spring Valley

  • Skilled Nursing Facility
  • Elberton, GA
National Provider Identifier
1174570691
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-052-943 Issued in GA
Legal business name
PRUITTHEALTH - SPRING VALLEY, LLC
Doing business as
PruittHealth - Spring Valley
Practice address
651 Rhodes Dr
Elberton, GA 30635-2008
Phone
(706) 283-3880
NPI assigned
May 29, 2006
Last updated
Jul 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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 1-052-943 GA Primary

Addresses

Primary practice location

651 Rhodes Dr
Elberton, GA 30635-2008

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
00143096AMedicaidGA

Other names 1

  • PruittHealth - Spring Valley Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050824000528 GA Part A Provider - Skilled Nursing Facility 8022049584 Practice locations: Elberton, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174570691. Details of each certification follow.

Skilled nursing facility certification: CCN 115401

Legal name
PRUITTHEALTH - SPRING VALLEY, LLC
Doing business as
PRUITTHEALTH - SPRING VALLEY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1989
Last certification
Jan 7, 2024
Beds
60
Ownership / control type
Individual
Multi-facility organization
PRUITTHEALTH
Organization structure
LLCProprietary
Incorporated
Sep 27, 2007 in GA
Enrollment address
651 Rhodes Dr
Elberton, GA 30635-2008
Nursing home name
PRUITTHEALTH - SPRING VALLEY
Affiliated entity
PRUITTHEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pruitthealth - Spring ValleyCCN 115401 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Jul 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6050.5 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
11D0021560Pruitthealth-Spring Valley, LLC651 Rhodes Drive, Elberton, GA 30635Certificate of waiverAug 31, 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 Sep 27, 2007 99%
Pruitthealth Inc Organization, Toccoa, GA For-profit Operational/Managerial Control Sep 27, 2007
Lisa P Hamby Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Sep 27, 2007 31.33%
Neil Little Pruitt Individual Corporate OfficerChairman and Ceo Sep 27, 2007 100%
Corporate DirectorChairman and Ceo Sep 27, 2007 100%
Operational/Managerial ControlChain Home Office Administrator Sep 27, 2007 100%
OtherAo, Cho Administrator Sep 27, 2007 100%
Neil L Pruitt Jr Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Sep 27, 2007 35.5%
Uhs-Pruitt Holdings, Inc. Organization, Norcross, GA For-profit 5% Or Greater Indirect Ownership Interest Sep 27, 2007 99%
Janice Langford Individual W-2 Managing EmployeeFacility Administrator Jan 3, 2022 100%
United Health Services of Georgia, Inc. Organization, Norcross, GA Non-profit 5% Or Greater Direct Ownership Interest Sep 27, 2007 99%
J Paige Pruitt Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Sep 27, 2007 31%

Facilities with the same owner 123

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

View all 123

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

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": "1148860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1174570691",
    "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": "651 RHODES DR",
            "city": "ELBERTON",
            "state": "GA",
            "postal_code": "306352008",
            "telephone_number": "706-283-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITTHEALTH - SPRING VALLEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-29",
        "last_updated": "2014-07-02",
        "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": "GA",
            "license": "1-052-943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00143096A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PruittHealth - Spring Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elberton, GA

Sources for this page

Verify at the official NPI Registry.