Organization Active NPI

Pruitthealth - Laurel Park, LLC

  • Skilled Nursing Facility
  • Stockbridge, GA
National Provider Identifier
1437934130
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PRUITTHEALTH - LAUREL PARK, LLC
Practice address
1050 Hospital Dr
Stockbridge, GA 30281-7384
Phone
(770) 507-3840
NPI assigned
Aug 30, 2023
Last updated
Feb 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1050 Hospital Dr
Stockbridge, GA 30281-7384

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240220004704 GA Part A Provider - Skilled Nursing Facility 8628383460 Practice locations: Stockbridge, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437934130. Details of each certification follow.

Skilled nursing facility certification: CCN 115673

Legal name
PRUITTHEALTH - LAUREL PARK, LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 22, 2001
Last certification
Nov 2, 2023
Beds
89
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Pruitthealth
Organization structure
CorporationProprietary
Incorporated
Aug 7, 2023 in GA
Enrollment address
1050 Hospital Dr
Stockbridge, GA 30281-7384
Nursing home name
PRUITTHEALTH - LAUREL PARK, LLC
Affiliated entity
PRUITTHEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pruitthealth - Laurel Park, LLCCCN 115673 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 22, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8985.9 residents per day on average
Chain
Pruitthealth95 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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
11D0985709Pruitthealth- Laurel Park, LLC1050 Hospital Drive, Stockbridge, GA 30281Certificate of waiverApr 25, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Henry Healthcare Properties Inc Organization, Norcross, GA Corporation Adp of the SNF Aug 13, 2023
NWP 2020 Child TR Fbo Lisa P Hamby Organization, Norcross, GA Indirect Ownership Interest Jun 5, 2003 2.47%
United Health Services Inc Organization, Norcross, GA Corporation, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 1, 2023 100%
Philip W. Small Individual Corporate DirectorDirector Feb 28, 2012
Pruitthealth Inc Organization, Norcross, GA Corporation, Chain home office Adp of the SNF Feb 27, 2025
Lisa P Hamby Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Feb 28, 2012 22.99%
Indirect Ownership Interest Feb 28, 2012 22.99%
Neil Little Pruitt Individual Corporate OfficerChairman and Ceo Oct 1, 2023
Corporate DirectorChairman and Ceo Oct 1, 2023
Neil L Pruitt Jr Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Feb 28, 2012 42.86%
Indirect Ownership Interest Feb 28, 2012 42.86%
NWP 2020 Child TR Fbo J Paige Pruitt Organization, Norcross, GA Indirect Ownership Interest Aug 12, 2020 2.41%
Pruitt Family Trust Organization, Norcross, GA Indirect Ownership Interest Aug 18, 2020 1.56%
Nancy W Pruitt Individual Corporate OfficerSecretary/Director Feb 2, 2012
Lindsay R Battaglia Individual Operational/Managerial Control Apr 6, 2020
Adp of the SNF Feb 26, 2025
Uhs-Pruitt Holdings, Inc. Organization, Norcross, GA Holding company Indirect Ownership Interest Nov 27, 2013
Individual Adp of the SNF Feb 18, 2012
United Health Services of Georgia, Inc. Organization, Norcross, GA Corporation, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 1, 2023 99%
Alpesh B Patel Individual Operational/Managerial Control Jun 28, 2020
Adp of the SNF Feb 26, 2025
J Paige Pruitt Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Feb 28, 2012 21.44%
Indirect Ownership Interest Feb 28, 2012 21.44%
Individual Adp of the SNF Feb 28, 2012
Organization, Norcross, GA Corporation Adp of the SNF Feb 27, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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

Practitioners 2

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 2

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": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1437934130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 JEURGENS CT",
            "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": "1050 HOSPITAL DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817384",
            "telephone_number": "770-507-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITTHEALTH - LAUREL PARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-30",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "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": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.