Pruitthealth - Neuse, LLC
Organization Active NPI Skilled Nursing Facility · New Bern, NC
NPI 1245285253 · NPPES record last updated Mar 23, 2016
Key facts
- NPI
- 1245285253
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- NH0496 (NC)
- Legal business name
- PRUITTHEALTH - NEUSE, LLC
- Practice address
- 1303 Health Dr
New Bern, NC 28560-4371 - Phone
- (252) 634-2560
- Fax
- (252) 638-1485
- NPI assigned
- May 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Neil L Pruitt Jr.
- Title
- Chairman and Ceo of Manager
- Phone
- (770) 279-6200
Facilities with the same owner 122
Affiliated clinicians 3
-
Erin Kristina Ivanoff, D.O.
-
Steven Earl Skahill, M.D.
Medicare Care Compare: Nursing home
- Listed as
- PruittHealth-Neuse
- Overall star rating
- ★★☆☆☆ 2 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Feb 15, 1991
- Medicare certification status
- Active
- Certified beds
- 110 · 94.8 residents per day on average
- Chain
- Pruitthealth
- Penalties (3 years)
- 6 · fines totaling $88,115
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D0993825 | Pruitthealth - Neuse, LLC | Certificate of waiver | Nov 26, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Skilled nursing facility certification: CCN 345357
- Legal name
- PRUITTHEALTH - NEUSE, LLC
- Doing business as
- PRUITTHEALTH - NEUSE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 15, 1991
- Last certification
- Sep 11, 2024
- Beds
- 110
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Pruitt Health
- Organization structure
- LLC · Proprietary
- Incorporated
- Sep 27, 2007 in GA
- Enrollment address
- 1303 Health Drive
New Bern, NC 28560-4371 - Nursing home name
- PRUITTHEALTH-NEUSE
- Affiliated entity
- PRUITTHEALTH
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| United Health Services Inc |
5% Or Greater Indirect Ownership Interest | Sep 24, 2007 | 100% |
| Pruitthealth Inc |
Operational/Managerial Control | Sep 27, 2007 | |
| Lisa P Hamby Trust |
5% Or Greater Indirect Ownership Interest | Sep 27, 2007 | 33% |
| Neil Little Pruitt |
Corporate Officer |
Sep 27, 2007 | 100% |
| Corporate Director |
Sep 27, 2007 | 100% | |
| Operational/Managerial Control |
Sep 27, 2007 | 100% | |
| Other |
Sep 27, 2007 | 100% | |
| Neil L Pruitt Jr Trust |
5% Or Greater Indirect Ownership Interest | Sep 27, 2007 | 33% |
| Kristine Hoke |
W-2 Managing Employee |
Aug 31, 2020 | 100% |
| United Health Services of North Carolina Inc |
5% Or Greater Direct Ownership Interest | Sep 27, 2007 | 99% |
| Uhs-Pruitt Holdings, Inc. |
5% Or Greater Indirect Ownership Interest | Sep 27, 2007 | 100% |
| J Paige Pruitt Trust |
5% Or Greater Indirect Ownership Interest | Sep 27, 2007 | 33% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060622000039 | NC | Part a Provider - Skilled Nursing Facility | 2668484304 | Practice locations: New Bern, NC |
National Provider Directory
Locations
1303 Health Dr
New Bern, NC 28560
Phone (252) 634-2560
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NH0496 | NC | Yes |
Addresses
Primary practice location
1303 Health Dr
New Bern, NC 28560-4371
Mailing address
1626 Jeurgens CT
Norcross, GA 30093-2219
Phone (770) 279-6200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3415357 | Medicaid | NC | |
| 3416001 | Medicaid | NC |
Other names
- PruittHealth - Neuse
Other providers in New Bern, NC
- Allan Michael Proctor
- Project-Yme, PLLC
- Promise Place
- Prosource Therapeutics
- Malachi Pruitt
- Pruitthealth - Trent, LLC
- Pruitthealth Home Health, Inc.
- Pruitthealth Hospice, Inc.
- Rosemary Carr Pruneau
- Jennifer Prutch
All providers in New Bern, NC · Skilled Nursing Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.