Organization Active NPI

Pruitthealth - Greenville LLC

  • Skilled Nursing Facility
  • Greenville, GA
National Provider Identifier
1770539082
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-099-1542 Issued in GA
Legal business name
PRUITTHEALTH - GREENVILLE LLC
Practice address
99 Hill Haven Rd
Greenville, GA 30222-3107
Phone
(706) 672-4241
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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
(770) 279-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1-099-1542 GA Primary

Addresses

Primary practice location

99 Hill Haven Rd
Greenville, GA 30222-3107

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
00140038-AMedicaidGA

Other names 1

  • PruittHealth - Greenville Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051020000541 GA Part A Provider - Skilled Nursing Facility 9234155144 Practice locations: Greenville, GA

Skilled nursing facility certification: CCN 115658

Legal name
PRUITTHEALTH - GREENVILLE, LLC
Doing business as
PRUITTHEALTH - GREENVILLE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 1, 1998
Last certification
Oct 29, 2023
Beds
113
Ownership / control type
Corporation
Multi-facility organization
PRUITTHEALTH
Organization structure
LLCProprietary
Incorporated
Sep 19, 2007 in GA
Enrollment address
99 Hill Haven Rd
Greenville, GA 30222-3107
Nursing home name
PRUITTHEALTH - GREENVILLE
Affiliated entity
PRUITTHEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pruitthealth - GreenvilleCCN 115658
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Nov 1, 1998
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11390.3 residents per day on average
Chain
Pruitthealth95 facilities in the chain

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
11D0257257Pruitthealth - Greenville, LLC99 Hill Haven Road, Greenville, GA 30222Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
United Health Services Inc Organization, Norcross, GA For-profit 5% Or Greater Indirect Ownership Interest Sep 19, 2007 99%
Pruitthealth Inc Organization, Toccoa, GA For-profit Operational/Managerial Control Sep 19, 2007 99%
Lisa P Hamby Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Sep 19, 2007 31.33%
Neil Little Pruitt Individual Corporate OfficerChairman and Ceo Sep 19, 2007 100%
Corporate DirectorChairman and Ceo Sep 19, 2007 100%
Operational/Managerial ControlChain Home Office Administrator Sep 19, 2007 100%
OtherCho Administrator Sep 19, 2007 100%
Neil L Pruitt Jr Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Sep 19, 2007 35.57%
Marla Harper Individual W-2 Managing EmployeeFacility Administrator Jul 6, 2021 100%
Uhs-Pruitt Holdings, Inc. Organization, Norcross, GA For-profit 5% Or Greater Indirect Ownership Interest Sep 19, 2007 99%
United Health Services of Georgia, Inc. Organization, Norcross, GA For-profit 5% Or Greater Direct Ownership Interest Sep 19, 2007 99%
J Paige Pruitt Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Sep 19, 2007 31.01%

Facilities with the same owner 123

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

View all 123

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1770539082",
    "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": "99 HILL HAVEN RD",
            "city": "GREENVILLE",
            "state": "GA",
            "postal_code": "302223107",
            "telephone_number": "706-672-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITTHEALTH - GREENVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "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_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-099-1542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00140038-A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PruittHealth - Greenville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PruittHealth - Greenville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, GA

Sources for this page

Verify at the official NPI Registry.