Organization Active NPI

Pruitthealth - Rome, LLC

  • Skilled Nursing Facility
  • Rome, GA
National Provider Identifier
1497176325
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PRUITTHEALTH - ROME, LLC
Practice address
2 Three Mile Rd NE
Rome, GA 30165-9764
Phone
(706) 236-6002
Fax
(706) 236-6003
NPI assigned
Dec 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2 Three Mile Rd NE
Rome, GA 30165-9764

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
299031876AMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140226001408 GA Part A Provider - Skilled Nursing Facility 1355571928 Practice locations: Rome, GA

Skilled nursing facility certification: CCN 115719

Legal name
PRUITTHEALTH - ROME, LLC
Doing business as
PRUITTHEALTH - ROME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 19, 2008
Last certification
Jan 9, 2025
Beds
100
Ownership / control type
Limited Liability Corporation
Multi-facility organization
PRUITTHEALTH
Organization structure
LLCProprietary
Incorporated
Sep 27, 2013 in GA
Enrollment address
2 Three Mile Road
Rome, GA 30165-9764
Nursing home name
PRUITTHEALTH - ROME
Affiliated entity
PRUITTHEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pruitthealth - RomeCCN 115719
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 19, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10088.4 residents per day on average
Chain
Pruitthealth95 facilities in the chain
Penalties (3 years)
3Fines totaling $17,345

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
11D1081296Pruitthealth - Rome, LLC2 Three Mile Road, Rome, GA 30165Certificate of waiverMar 13, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Donna Clark Individual W-2 Managing EmployeeFacility Administrator Sep 27, 2021 100%
United Health Services Inc Organization, Norcross, GA Corporation 5% Or Greater Indirect Ownership Interest Sep 27, 2013 100%
Pruitthealth Inc Organization, Norcross, GA Corporation, For-profit Other Sep 27, 2013
Lisa P Hamby Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Sep 27, 2013 26.13%
Neil Little Pruitt Individual Corporate OfficerChairman and Ceo Sep 27, 2013 100%
Corporate DirectorChairman and Ceo Sep 27, 2013 100%
Neil L Pruitt Jr Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Sep 27, 2013 35.2%
Suzanne Stanley Individual W-2 Managing EmployeeFacility Administrator May 31, 2020 100%
Uhs-Pruitt Holdings, Inc. Organization, Norcross, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 27, 2013 100%
Janice Langford Individual W-2 Managing EmployeeFacility Administrator Jul 26, 2021 100%
United Health Services of Georgia, Inc. Organization, Norcross, GA Corporation 5% Or Greater Direct Ownership Interest Sep 27, 2013 99%
J Paige Pruitt Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Sep 27, 2013 28.84%

Facilities with the same owner 123

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

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.

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": "1387411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1497176325",
    "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",
            "fax_number": "770-931-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 THREE MILE RD NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301659764",
            "telephone_number": "706-236-6002",
            "fax_number": "706-236-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITTHEALTH - ROME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-19",
        "last_updated": "2015-04-13",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "299031876A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.