NPIMap

Organization Active NPI

Pruitthealth Hospice, Inc.

Doing business as PruittHealth Hospice - Beaufort

  • Community Based Hospice Care Agency
  • Okatie, SC
National Provider Identifier
1285672295
Registry record updated Apr 29, 2021
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 - Beaufort
Practice address
40 Okatie Center Blvd S Ste 230
Okatie, SC 29909-7509
Phone
(843) 522-0476
Fax
(866) 711-6494
NPI assigned
Jun 2, 2006
Last updated
Apr 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

40 Okatie Center Blvd S Ste 230
Okatie, SC 29909-7509

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
00587518CMedicaidSC

Other names 1

  • PruittHealth Hospice - Beaufort Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060403000616 SC Part A Provider - Hospice 2264344217 Practice locations: Okatie, 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 1285672295. Details of each certification follow.

Hospice certification: CCN 421553

Legal name
PRUITTHEALTH HOSPICE INC
Doing business as
PRUITTHEALTH HOSPICE - BEAUFORT
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 10, 2004
Last certification
Jan 21, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Oct 14, 1993 in GA
Enrollment address
40 Okatie Ctr Blvd
Ste 230
Okatie, SC 29909-7509

Other NPIs with the same Medicare PAC ID 17

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

View all 17

Other NPIs on the same Medicare enrollment 6

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Pruitthealth Hospice-BeaufortCCN 421553 · All quality measures
Ownership
For-Profit
Certified
Sep 10, 2004
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

Locations

40 Okatie Center Blvd S
Ste 230
Okatie, SC 29909
Phone (843) 522-0476

Ownership & related parties

All disclosed owners & managing parties 12

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 Jan 2, 2006 100%
Philip W. Small Individual Corporate DirectorDirector Sep 17, 2013
Pruitthealth Inc Organization, Norcross, GA Corporation 5% Or Greater Direct Ownership Interest Jan 1, 2022
Operational/Managerial Control Jul 1, 2008
Lisa P Hamby Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Jan 2, 2006 33%
Neil Little Pruitt Individual Corporate OfficerChairman and Ceo Jan 2, 2006
Corporate DirectorDirector Jan 2, 2006
Operational/Managerial Control Oct 31, 2003
OtherChain Home Office Admin/Ao Jan 2, 2006
Neil L Pruitt Jr Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Jan 2, 2006 33%
Nancy W Pruitt Individual Corporate OfficerSecretary Jan 2, 2006
Uhs-Pruitt Holdings, Inc. Organization, Norcross, GA Corporation 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, Norcross, GA For-profit 5% Or Greater Direct Ownership Interest Jan 7, 2008 99%
Nancy Sutton Individual W-2 Managing EmployeeAdministrator Sep 14, 2018
J Paige Pruitt Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Jan 2, 2006 33%

Facilities with the same owner 123

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

  • Pruitthealth - Aiken, LLC

    dba PruittHealth - Aiken

    • Skilled Nursing Facility
    • Aiken, SC
    • NPI 1679786917

    J Paige Pruitt Trust, Uhs-Pruitt Holdings, Inc., United Health Services Inc

    CMS ownership
  • Pruitthealth - Bamberg, LLC

    dba PruittHealth - Bamberg

    • Skilled Nursing Facility
    • Bamberg, SC
    • NPI 1104063718

    J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Pruitthealth Inc, Uhs-Pruitt Holdings, Inc., United Health Services Inc

    CMS ownership
  • Pruitthealth - Barnwell, LLC

    dba PruittHealth - Barnwell

    • Skilled Nursing Facility
    • Barnwell, SC
    • NPI 1962729632

    J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Uhs-Pruitt Holdings, Inc., United Health Services Inc

    CMS ownership
  • Pruitthealth - Columbia, LLC

    dba PruittHealth - Columbia

    • Skilled Nursing Facility
    • Columbia, SC
    • NPI 1790732212

    J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Uhs-Pruitt Holdings, Inc., United Health Services Inc

    CMS ownership
  • Pruitthealth - Conway, LLC

    dba PruittHealth - Conway at Conway Medical Center

    • Skilled Nursing Facility
    • Conway, SC
    • NPI 1124595863

    J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, United Health Services Inc

    CMS ownership
  • Pruitthealth - Dillon, LLC

    dba PruittHealth - Dillon

    • Skilled Nursing Facility
    • Dillon, SC
    • NPI 1639125198

    J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Uhs-Pruitt Holdings, Inc., United Health Services Inc

    CMS ownership
  • Pruitthealth - Estill, LLC

    dba PruittHealth - Estill

    • Skilled Nursing Facility
    • Estill, SC
    • NPI 1174504203

    Uhs-Pruitt Holdings, Inc.

    CMS ownership
  • Pruitthealth - Moncks Corner LLC

    dba PruittHealth - Moncks Corner

    • Skilled Nursing Facility
    • Moncks Corner, SC
    • NPI 1700074564

    J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Uhs-Pruitt Holdings, Inc., United Health Services Inc

    CMS ownership
  • Pruitthealth - North Augusta LLC

    dba PruittHealth - North Augusta

    • Skilled Nursing Facility
    • North Augusta, SC
    • NPI 1790951192

    J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Uhs-Pruitt Holdings, Inc., United Health Services Inc

    CMS ownership
  • Pruitthealth - Orangeburg, LLC

    dba PruittHealth - Orangeburg

    • Skilled Nursing Facility
    • Orangeburg, SC
    • NPI 1013917053

    J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Pruitthealth Inc, Uhs-Pruitt Holdings, Inc., United Health Services Inc

    CMS ownership
  • Pruitthealth - Pickens, LLC

    dba PruittHealth - Pickens

    • Skilled Nursing Facility
    • Six Mile, SC
    • NPI 1073789475

    J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Uhs-Pruitt Holdings, Inc., United Health Services Inc

    CMS ownership
  • Pruitthealth - Rock Hill, LLC

    dba PruittHealth - Rock Hill

    • Skilled Nursing Facility
    • Rock Hill, SC
    • NPI 1992752414

    J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Pruitthealth Inc, Uhs-Pruitt Holdings, Inc., United Health Services Inc

    CMS ownership
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 3

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": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1285672295",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 OKATIE CENTER BLVD S STE 230",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299097509",
            "telephone_number": "843-522-0476",
            "fax_number": "866-711-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITTHEALTH HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-01",
        "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": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00587518C",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PruittHealth Hospice - Beaufort",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PruittHealth Hospice - Beaufort",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Okatie, SC

Sources for this page

Verify at the official NPI Registry.