Pruitthealth - Walterboro, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NCF-0949 Issued in SC

Legal business name

PRUITTHEALTH - WALTERBORO, LLC

Doing business as

PruittHealth - Walterboro

Practice address

401 Witsell St
Walterboro, SC 29488-3052

Phone

(843) 549-5546

Fax

(843) 549-2024

NPI assigned

May 29, 2006

Last updated

Apr 7, 2021By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• PruittHealth - Walterboro Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386691806. Details of each certification follow.

• CCN 425053 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 425053

Legal name

PRUITTHEALTH - WALTERBORO, LLC

Doing business as

PRUITTHEALTH - WALTERBORO

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1981

Last certification

Dec 18, 2024

Beds

132

Ownership / control type

Corporation

Multi-facility organization

PruittHealth

Organization structure

LLCProprietary

Incorporated

Sep 27, 2007 in SC

Enrollment address

401 Witsell St
Walterboro, SC 29488-3052

Nursing home name

PRUITTHEALTH- WALTERBORO

Affiliated entity

PRUITTHEALTH

Listed as

PruittHealth- WalterboroCCN 425053 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jan 1, 1981

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

132120.9 residents per day on average

Chain

Pruitthealth95 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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.

Facilities with the same owner 122

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, United Health Services of South Carolina 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, Uhs-Pruitt Holdings, Inc., United Health Services Inc, United Health Services of South Carolina 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, United Health Services of South Carolina 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, United Health Services of South Carolina 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, United Health Services of South Carolina 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, United Health Services of South Carolina 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, United Health Services of South Carolina 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, United Health Services of South Carolina 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, Uhs-Pruitt Holdings, Inc., United Health Services Inc, United Health Services of South Carolina 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, United Health Services of South Carolina 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, Uhs-Pruitt Holdings, Inc., United Health Services Inc, United Health Services of South Carolina Inc

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Nicholas P Dardes, DO

  • Internal Medicine Physician
  • Beaufort, SC
  • NPI 1083723688

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1386691806",
    "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": "401 WITSELL ST",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294883052",
            "telephone_number": "843-549-5546",
            "fax_number": "843-549-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITTHEALTH - WALTERBORO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-29",
        "last_updated": "2021-04-07",
        "certification_date": "2021-03-17",
        "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": "SC",
            "license": "NCF-0949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0368NH",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PruittHealth - Walterboro",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PruittHealth - Walterboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Marie Peterson, PHARM.D.
• Peggy Murray Phalen, APRN
• Moya Pierce, RN
• Heather M Poirier
• Priority Home Care LLC
• PSC, Inc (Colleton Internal Medicine)
• Shannon Morris Pye, DMD
• Mark Andrew Rainwater, DDS
• Rapha Family Footcare
• Dee Anne Hickman Reaves, OTR/L

• Skilled Nursing Facility in Walterboro, SC
• Providers in Walterboro, SC by specialty
• Skilled Nursing Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.