NPIMap

Organization Active NPI

Pruitthealth Hospice, Inc.

Doing business as PruittHealth Hospice - Simpsonville

  • Community Based Hospice Care Agency
  • Simpsonville, SC
National Provider Identifier
1184860306
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PRUITTHEALTH HOSPICE, INC.
Doing business as
PruittHealth Hospice - Simpsonville
Practice address
102 East Curtis Street
Simpsonville, SC 29681-2620
Phone
(864) 962-6699
Fax
(864) 962-6816
NPI assigned
Dec 17, 2008
Last updated
Jul 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Neil L. Pruitt Jr.
Title
Chairman and Ceo
Phone
(770) 279-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

102 East Curtis Street
Simpsonville, SC 29681-2620

Mailing address

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

Other names 1

  • PruittHealth Hospice - Simpsonville Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060103000094 SC Part A Provider - Hospice 2264344217 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Columbia, SC; Anderson, SC; Greenville, SC
O20221214002911 SC Part B Supplier - Clinic/Group Practice 2264344217 Receives reassigned benefits from 16 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Okatie, SC; Ladson, SC; Greenville, SC; Columbia, SC; Anderson, SC; Aiken, SC; Florence, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184860306. Details of each certification follow.

Hospice certification: CCN 421565

Legal name
PRUITTHEALTH HOSPICE INC
Doing business as
PRUITTHEALTH HOSPICE-COLUMBIA
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 11, 2006
Last certification
Feb 25, 2022
Ownership / control type
Proprietary - Individual
Organization structure
CorporationProprietary
Incorporated
Oct 14, 1993 in GA
Enrollment address
240 Stoneridge Dr
Ste 302
Columbia, SC 29210-8013

Other NPIs on the same Medicare enrollment 7

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Pruitthealth Hospice- ColumbiaCCN 421565 · All quality measures
Ownership
For-Profit
Certified
Apr 11, 2006
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Pruitthealth Hospice Inc26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Lance Danko Individual W-2 Managing Employee Oct 27, 2017 100%
Hannah Burris Individual W-2 Managing Employee100 Oct 18, 2021
United Health Services Inc Organization, Toccoa, GA Corporation, Holding company, For-profit 5% Or Greater Direct Ownership Interest May 15, 2003 100%
Angela D. McCarn Individual W-2 Managing Employee Jul 1, 2020
Pruitthealth Inc Organization, Norcross, GA 5% Or Greater Direct Ownership Interest Jan 1, 2022
Operational/Managerial Control Jan 7, 2008
Lisa P Hamby Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Jan 2, 2006 28.84%
Neil Little Pruitt Individual Corporate Officer Apr 12, 1999
Corporate Director Jan 3, 2006
Neil L Pruitt Jr Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Jan 2, 2006 35.19%
Teresa Sexton Individual W-2 Managing Employee Sep 19, 2019 100%
Uhs-Pruitt Holdings, Inc. Organization, Norcross, GA Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jan 2, 2006 100%
Thomas R Beddingfield Individual Corporate DirectorDirector Sep 17, 2013
United Health Services of Georgia, Inc. Organization, Toccoa, GA 5% Or Greater Direct Ownership Interest Oct 31, 2003
J Paige Pruitt Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Jan 2, 2006 31.32%

Practitioners & affiliated clinicians

Practitioners 3

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 12

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": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1184860306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 JEURGENS COURT",
            "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": "102 EAST CURTIS STREET",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812620",
            "telephone_number": "864-962-6699",
            "fax_number": "864-962-6816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITTHEALTH HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2014-07-07",
        "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_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PruittHealth Hospice - Simpsonville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Simpsonville, SC

Sources for this page

Verify at the official NPI Registry.