Pruitthealth - Town Center, LLC
Organization Active NPI Skilled Nursing Facility · Harrisburg, NC
NPI 1700833233 · NPPES record last updated Jul 2, 2014
Key facts
- NPI
- 1700833233
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- NH0604 (NC)
- Legal business name
- PRUITTHEALTH - TOWN CENTER, LLC
- Practice address
- 6300 Roberta Rd
Harrisburg, NC 28075-9416 - Phone
- (704) 455-5553
- NPI assigned
- May 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Neil L Pruitt Jr.
- Title
- Chairman and Ceo of Manager
- Phone
- (770) 279-6200
Facilities with the same owner 122
Affiliated clinicians 2
Medicare Care Compare: Nursing home
- Listed as
- PruittHealth-Town Center
- 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
- Jul 1, 2002
- Medicare certification status
- Active
- Certified beds
- 70 · 65.0 residents per day on average
- Chain
- Pruitthealth
- Penalties (3 years)
- 1 · fines totaling $8,018
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D0999744 | Pruitthealth - Town Center, LLC | Certificate of waiver | May 20, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Skilled nursing facility certification: CCN 345515
- Legal name
- PRUITTHEALTH - TOWN CENTER, LLC
- Doing business as
- PRUITTHEALTH - TOWN CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 2002
- Last certification
- Jun 25, 2024
- Beds
- 70
- Ownership / control type
- Corporation
- Multi-facility organization
- Pruitt Health
- Organization structure
- LLC · Proprietary
- Incorporated
- Aug 27, 2007 in GA
- Enrollment address
- 6300 Roberta Rd
Harrisburg, NC 28075-9416 - Nursing home name
- PRUITTHEALTH-TOWN CENTER
- Affiliated entity
- PRUITTHEALTH
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| United Health Services Inc |
5% Or Greater Indirect Ownership Interest | Aug 27, 2007 | 99% |
| Pruitthealth Inc |
Operational/Managerial Control | Aug 27, 2007 | |
| Lisa P Hamby Trust |
5% Or Greater Indirect Ownership Interest | Aug 27, 2007 | 31.33% |
| Neil Little Pruitt |
Corporate Officer |
Aug 27, 2007 | 100% |
| Neil L Pruitt Jr Trust |
5% Or Greater Indirect Ownership Interest | Aug 27, 2007 | 35.57% |
| Rhonda Hargrave |
W-2 Managing Employee |
Aug 23, 2021 | 100% |
| United Health Services of North Carolina Inc |
5% Or Greater Direct Ownership Interest | Aug 27, 2007 | 99% |
| Uhs-Pruitt Holdings, Inc. |
5% Or Greater Indirect Ownership Interest | Aug 27, 2007 | 99% |
| J Paige Pruitt Trust |
5% Or Greater Indirect Ownership Interest | Aug 27, 2007 | 31.01% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060501000036 | NC | Part a Provider - Skilled Nursing Facility | 0648280032 | Practice locations: Harrisburg, NC |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NH0604 | NC | Yes |
Addresses
Primary practice location
6300 Roberta Rd
Harrisburg, NC 28075-9416
Mailing address
1626 Jeurgens CT
Norcross, GA 30093-2219
Phone (678) 533-6485
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340613V | Medicaid | NC | |
| 3405515 | Medicaid | NC |
Other names
- PruittHealth - Town Center
Other providers in Harrisburg, NC
- Mary Pilon
- Susan R Pittman
- Anne Brookes Powell
- Daja Kiara Prather
- Hannah Prince
- Publix North Carolina LP
- Q City Doula
- Queen City Empowerment Network LLC
- R. Barrows & Associates II PC
- Shurna Rabsatt
All providers in Harrisburg, NC · Skilled Nursing Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.