Active NPI
Pruitthealth - Durham, LLC
- Skilled Nursing Facility
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NH0412
- Legal business name
- PRUITTHEALTH - DURHAM, LLC
- Practice address
- 3100 Erwin Road
Durham, NC 27705-4505 - Phone
- (919) 383-1546
- Fax
- (919) 382-0156
- NPI assigned
- Jan 4, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NH0412 | NC | Primary |
Addresses
Primary practice location
3100 Erwin Road
Durham, NC 27705-4505
Mailing address
1626 Jeurgens CT
Norcross, GA 30093-2219
Phone (770) 279-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3465061 | Medicaid | NC |
Other names 1
- PruittHealth - Durham
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080312000507 | NC | Part A Provider - Skilled Nursing Facility | 6901981117 | Practice locations: Durham, NC |
Skilled nursing facility certification: CCN 345061
- Legal name
- PRUITTHEALTH - DURHAM, LLC
- Doing business as
- PRUITTHEALTH - DURHAM
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 1, 1969
- Last certification
- Apr 4, 2025
- Beds
- 125
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- PruittHealth
- Organization structure
- LLC
- Incorporated
- Nov 20, 2007 in NC
- Enrollment address
- 3100 Erwin Road
Durham, NC 27705-4505 - Nursing home name
- PRUITTHEALTH-DURHAM
- Affiliated entity
- PRUITTHEALTH
Care Compare: Nursing home
Medicare Care Compare- Listed as
- PruittHealth-Durham
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Dec 1, 1969
- Medicare certification status
- Active
- Certified beds
- 125
- Chain
- Pruitthealth
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D0241277 | Pruitthealth - Durham, LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 20
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Patrick J O Brien | Operational/Managerial Control | Mar 1, 2011 | |
| Adp of the SNF | Nov 17, 2025 | ||
| Durham Healthcare Properties, Inc | 5% Or Greater Indirect Ownership Interest | Nov 16, 2007 | |
| Adp of the SNF | Nov 16, 2007 | ||
| Indirect Ownership Interest | Nov 16, 2007 | ||
| United Health Services Inc | 5% Or Greater Indirect Ownership Interest | Nov 20, 2007 | 100% |
| Indirect Ownership Interest | Nov 27, 2013 | 100% | |
| Adp of the SNF | Nov 27, 2013 | ||
| Philip W. Small | Managing Control - Governing Body | Nov 27, 2013 | |
| Lisa P Hamby Trust | 5% Or Greater Indirect Ownership Interest | Jun 5, 2003 | 22.98% |
| Adp of the SNF | Jun 5, 2003 | ||
| Indirect Ownership Interest | Jun 5, 2003 | 22.98% | |
| Neil Little Pruitt | 5% Or Greater Direct Ownership Interest | Nov 27, 2013 | 1% |
| Corporate Officer | Nov 27, 2013 | 1% | |
| Adp of the SNF | Nov 11, 2019 | ||
| Adp of the SNF | Aug 12, 2020 | ||
| Indirect Ownership Interest | Aug 12, 2020 | 6.28% | |
| Neil L Pruitt Jr Trust | 5% Or Greater Indirect Ownership Interest | Jun 5, 2003 | 42.86% |
| Adp of the SNF | Jun 5, 2003 | ||
| Indirect Ownership Interest | Jun 5, 2003 | 42.86% | |
| NWP 2020 Child TR Fbo Neil L Pruitt Jr | Indirect Ownership Interest | Aug 12, 2020 | 2.4% |
| Tanya B McPhaul | Operational/Managerial Control | Apr 30, 2023 | |
| Adp of the SNF | Mar 28, 2025 | ||
| Nancy W Pruitt | Managing Control - Governing Body | Nov 27, 2013 | |
| Adp of the SNF | Nov 27, 2013 | ||
| Indirect Ownership Interest | Aug 12, 2020 | 2.4% | |
| Pruitthealth Consulting Services Inc | Adp of the SNF | Nov 26, 2013 | |
| Adp of the SNF | Jan 14, 2025 | ||
| Indirect Ownership Interest | Jan 14, 2025 | 1.59% | |
| United Health Services of North Carolina Inc | 5% Or Greater Direct Ownership Interest | Nov 20, 2007 | 99% |
| Direct Ownership Interest | Nov 27, 2013 | 99% | |
| Uhs-Pruitt Holdings, Inc. | 5% Or Greater Indirect Ownership Interest | Nov 20, 2007 | 99% |
| J Paige Pruitt Trust | 5% Or Greater Indirect Ownership Interest | Jun 5, 2003 | 21.44% |
| Adp of the SNF | Jun 5, 2003 | ||
| Indirect Ownership Interest | Jun 5, 2003 | 21.44% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Physical Medicine & Rehabilitation Physician
- Raleigh, NC
- NPI 1356374219
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 122
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Durham, NC
- NPI 1518112036
J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, United Health Services Inc, United Health Services of North Carolina Inc
-
- Skilled Nursing Facility
- Beaufort, NC
- NPI 1023358991
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 North Carolina Inc
-
- Skilled Nursing Facility
- Elkin, NC
- NPI 1245287762
J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, United Health Services Inc, United Health Services of North Carolina Inc
-
- Skilled Nursing Facility
- New Bern, NC
- NPI 1245285253
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 North Carolina Inc
-
- Skilled Nursing Facility
- Raleigh, NC
- NPI 1730136250
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 North Carolina Inc
-
- Skilled Nursing Facility
- Rockingham, NC
- NPI 1033513320
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 North Carolina Inc
-
- Skilled Nursing Facility
- Harrisburg, NC
- NPI 1700833233
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 North Carolina Inc
-
- Skilled Nursing Facility
- New Bern, NC
- NPI 1851348379
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 North Carolina Inc
-
- Home Health Agency
- Raleigh, NC
- NPI 1073883450
J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Uhs-Pruitt Holdings, Inc., United Health Services Inc
-
- Home Health Agency
- Leland, NC
- NPI 1255704292
J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, United Health Services Inc
-
- Home Health Agency
- Kernersville, NC
- NPI 1568984656
J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Uhs-Pruitt Holdings, Inc., United Health Services Inc
-
- Home Health Agency
- Pilot Mountain, NC
- NPI 1598004723
J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, Uhs-Pruitt Holdings, Inc., United Health Services Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1622678400000",
"number": "1447435722",
"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": "3100 ERWIN ROAD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277054505",
"telephone_number": "919-383-1546",
"fax_number": "919-382-0156"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRUITTHEALTH - DURHAM, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-04",
"last_updated": "2021-06-03",
"certification_date": "2021-06-03",
"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": "NC",
"license": "NH0412",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3465061",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PruittHealth - Durham",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "PruittHealth - Durham",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Durham, NC
- Provisions2Live Behavioral Health PLLC
- Erin Michelle Pruett, LMHC
- Ben Pruitt, LCSWA, MDIV
- Scott Knowles Pruitt, M.D., PH.D.
- Pruitthealth - Carolina Point, LLC
- Pruitthealth Pharmacy Services - Durham, Inc.
- Pruitthealth Pharmacy Services - Durham, Inc.
- Brandi Jennifer Pryor Handford
- Emily Przybylowski, MD
- Psychiatric & Psychological Associates of Durham, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.