Active NPI
Pruitthealth - Raleigh, LLC
- Skilled Nursing Facility
- Raleigh, NC
National Provider Identifier
1720309933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NH0618
- Legal business name
- PRUITTHEALTH - RALEIGH, LLC
- Practice address
- 2420 Lake Wheeler Rd
Raleigh, NC 27603-2614 - Phone
- (919) 755-0226
- Fax
- (919) 755-0313
- NPI assigned
- Jun 22, 2010
- Organization subpart
- Yes
- Parent organization
- PRUITTHEALTH - RALEIGH, LLC
NPPES NPI Registry
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
- Phone
- (919) 755-0226
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NH0618 | NC | Primary |
Addresses
Primary practice location
2420 Lake Wheeler Rd
Raleigh, NC 27603-2614
Mailing address
1626 Jeurgens Court
Legal Dept
Norcross, GA 30093-2219
Phone (919) 755-0226
National Provider Directory
National Provider Directory- Tax ID family
- Pruitthealth - Raleigh LLC
- Part of
- Pruitthealth - Raleigh LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Raleigh, NC
- NPI 1730136250
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Skilled Nursing Facility
- Raleigh, NC
- NPI 1730136250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632960000000",
"number": "1720309933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1626 JEURGENS COURT",
"address_2": "LEGAL DEPT",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300932219",
"telephone_number": "919-755-0226",
"fax_number": "919-755-0313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2420 LAKE WHEELER RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276032614",
"telephone_number": "919-755-0226",
"fax_number": "919-755-0313"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRUITTHEALTH - RALEIGH, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PRUITTHEALTH - RALEIGH, LLC",
"enumeration_date": "2010-06-22",
"last_updated": "2021-09-30",
"certification_date": "2021-09-15",
"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": "919-755-0226",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NC",
"license": "NH0618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.