NPIMap

Organization Active NPI

Pruitthealth Home Health, Inc.

Doing business as PruittHealth @ Home - Forsyth

  • Home Health Agency
  • Kernersville, NC
National Provider Identifier
1568984656
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRUITTHEALTH HOME HEALTH, INC.
Doing business as
PruittHealth @ Home - Forsyth
Practice address
1393 Carrollton Crossing Dr Ste 104
Kernersville, NC 27284-3896
Phone
(336) 515-1491
Fax
(336) 992-1106
NPI assigned
Jul 11, 2017
Last updated
Oct 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 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
Home Health Agency 251E00000X NC Primary

Addresses

Primary practice location

1393 Carrollton Crossing Dr Ste 104
Kernersville, NC 27284-3896

Mailing address

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

Other names 1

  • PruittHealth @ Home - Forsyth Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171012000488 NC Part A Provider - Home Health Agency 9032151246 1 other NPI on this enrollment
Practice locations: Charlotte, NC; Kernersville, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1568984656. Details of each certification follow.

Home health agency certification: CCN 347256

Legal name
PRUITTHEALTH HOME HEALTH, INC.
Doing business as
PRUITTHEALTH @ HOME - FORSYTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 31, 2018
Last certification
May 31, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 12, 1999 in GA
Enrollment address
1393 Carrollton Crossing Dr
Suite 104
Kernersville, NC 27284-4047

Other NPIs with the same Medicare PAC ID 12

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

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Pruitthealth at Home - ForsythCCN 347256 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
May 31, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Pruitthealth Home Health Inc21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

1393 Carrollton Crossing Dr
Unit 104
Kernersville, NC 27284
Phone (336) 515-1491

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
Marinda Seal Individual W-2 Managing EmployeeFacility Administrator Mar 22, 2021 100%
United Health Services Inc Organization, Norcross, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 12, 1999 100%
Philip W. Small Individual Corporate DirectorDirector Oct 5, 2016
Lisa P Hamby Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Apr 12, 1999 28.84%
Neil Little Pruitt Individual Corporate OfficerChairman and Ceo Apr 12, 1999 100%
Corporate DirectorChairman and Ceo Apr 12, 1999 100%
OtherCho Administrator/Ao Apr 12, 1999 100%
Neil L Pruitt Jr Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Apr 12, 1999 35.2%
Nancy W Pruitt Individual Corporate OfficerSecretary Apr 12, 1999
Uhs-Pruitt Holdings, Inc. Organization, Norcross, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 12, 1999 100%
Thomas R Beddingfield Individual Corporate DirectorDirector Oct 5, 2016
United Health Services of Georgia, Inc. Organization, Norcross, GA Corporation, For-profit 5% Or Greater Direct Ownership Interest Apr 12, 1999 100%
J Paige Pruitt Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Apr 12, 1999 26.13%

Facilities with the same owner 123

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

  • Pruitthealth - Carolina Point, LLC

    dba PruittHealth - Carolina Point

    • Skilled Nursing Facility
    • Durham, NC
    • NPI 1518112036

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

    CMS ownership
  • Pruitthealth - Crystal Coast, LLC

    dba PruittHealth - Crystal Coast

    • 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

    CMS ownership
  • Pruitthealth - Durham, LLC

    dba PruittHealth - Durham

    • Skilled Nursing Facility
    • Durham, NC
    • NPI 1447435722

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

    CMS ownership
  • Pruitthealth - Elkin, LLC

    dba PruittHealth - Elkin

    • Skilled Nursing Facility
    • Elkin, NC
    • NPI 1245287762

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

    CMS ownership
  • Pruitthealth - Neuse, LLC

    dba PruittHealth - Neuse

    • 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

    CMS ownership
  • Pruitthealth - Raleigh, LLC

    dba PruittHealth - Raleigh

    • 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

    CMS ownership
  • Pruitthealth - Rockingham, LLC

    dba PruittHealth - Rockingham

    • 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

    CMS ownership
  • Pruitthealth - Town Center, LLC

    dba PruittHealth - Town Center

    • 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

    CMS ownership
  • Pruitthealth - Trent, LLC

    dba PruittHealth - Trent

    • 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

    CMS ownership
  • Pruitthealth Home Health, Inc.

    dba PruittHealth @ Home - Wake

    • 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, United Health Services of Georgia, Inc.

    CMS ownership
  • Pruitthealth Home Health, Inc.

    dba PruittHealth @ Home - Brunswick

    • Home Health Agency
    • Leland, NC
    • NPI 1255704292

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

    CMS ownership
  • Pruitthealth Home Health, Inc.

    dba PruittHealth @ Home - Pilot Mountain

    • 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, United Health Services of Georgia, Inc.

    CMS ownership
View all 123

Practitioners & affiliated clinicians

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": "1499731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1568984656",
    "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": "1393 CARROLLTON CROSSING DR STE 104",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843896",
            "telephone_number": "336-515-1491",
            "fax_number": "336-992-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITTHEALTH HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-11",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PruittHealth @ Home - Forsyth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kernersville, NC

Sources for this page

Verify at the official NPI Registry.