Organization Active NPI

Pruitthealth Home Health, Inc.

Doing business as PruittHealth @ Home - Brunswick

  • Home Health Agency
  • Leland, NC
National Provider Identifier
1255704292
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRUITTHEALTH HOME HEALTH, INC.
Doing business as
PruittHealth @ Home - Brunswick
Practice address
509 Olde Waterford Way
Suite 205
Leland, NC 28451-4125
Phone
(910) 473-5104
Fax
(910) 383-9787
NPI assigned
Nov 12, 2015
Last updated
Oct 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

509 Olde Waterford Way
Suite 205
Leland, NC 28451-4125

Mailing address

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

Other names 1

  • PruittHealth @ Home - Brunswick Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161110000171 NC Part A Provider - Home Health Agency 9032151246 Practice locations: Leland, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255704292. Details of each certification follow.

Home health agency certification: CCN 347255

Legal name
PRUITTHEALTH HOME HEALTH, INC.
Doing business as
PRUITTHEALTH @ HOME - BRUNSWICK
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 9, 2017
Last certification
Nov 9, 2017
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 12, 1999 in GA
Enrollment address
509 Olde Waterford Way
Ste 205
Leland, NC 28451-4126

Other NPIs with the same Medicare PAC ID 12

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Pruitthealth at Home - BrunswickCCN 347255 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Nov 9, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
34D2122331Pruitthealth at Home - Brunswick509 Olde Waterford Way, Suite 205, Leland, NC 28451Certificate of waiverNov 27, 2026

National Provider Directory

National Provider Directory
Tax ID family
Pruitthealth Home Health Inc21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

Ownership & related parties

All disclosed owners & managing parties 10

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, For-profit 5% Or Greater Indirect Ownership Interest Jan 2, 2006 100%
United Health Services Inc Organization, Norcross, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jan 2, 2006 100%
Pruitthealth Inc Organization, Toccoa, GA Corporation, For-profit Operational/Managerial Control Apr 12, 1999
Lisa P Hamby Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Jan 2, 2006 31.69%
Neil Little Pruitt Individual Corporate OfficerChairman and Ceo Mar 3, 2003
Corporate DirectorDirector Mar 3, 2003
Operational/Managerial Control Mar 3, 2003
Neil L Pruitt Jr Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Jan 2, 2006 36.49%
Nancy W Pruitt Individual Corporate OfficerSecretary Apr 12, 1999
Nicole Orlowski Individual W-2 Managing EmployeeAd; Jan 1, 2024
United Health Services of Georgia, Inc. Organization, Norcross, GA Corporation, For-profit 5% Or Greater Direct Ownership Interest Nov 1, 2003 100%
J Paige Pruitt Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Jan 2, 2006 30.7%

Facilities with the same owner 122

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

View all 122

Practitioners & affiliated clinicians

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": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1255704292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 JEURGENS CT",
            "address_2": "LEGAL DEPT",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932219",
            "telephone_number": "770-279-6200",
            "fax_number": "770-931-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLDE WATERFORD WAY",
            "address_2": "SUITE 205",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284514125",
            "telephone_number": "910-473-5104",
            "fax_number": "910-383-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITTHEALTH HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PruittHealth @ Home - Brunswick",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leland, NC

Sources for this page

Verify at the official NPI Registry.