NPIMap

Organization Active NPI

Pruitthealth Hospice, Inc.

Doing business as PruittHealth Hospice - Columbia

  • Inpatient Hospice
  • Columbia, SC
National Provider Identifier
1790723435
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Inpatient HospiceTaxonomy code 315D00000X
Legal business name
PRUITTHEALTH HOSPICE, INC.
Doing business as
PruittHealth Hospice - Columbia
Practice address
903 Elmwood Ave Ste a
Columbia, SC 29201
Phone
(803) 771-0489
NPI assigned
Jun 3, 2006
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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
Inpatient Hospice 315D00000X Primary

Addresses

Primary practice location

903 Elmwood Ave Ste a
Columbia, SC 29201

Mailing address

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

Other practice location 1

118 York St
Chester, SC 29706-1484
Phone (803) 385-2002

Other names 1

  • PruittHealth Hospice - Columbia Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060103000094 SC Part A Provider - Hospice 2264344217 3 other NPIs on this enrollment
Practice locations: Columbia, SC; Anderson, SC; Greenville, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790723435. Details of each certification follow.

Hospice certification: CCN 421565

Legal name
PRUITTHEALTH HOSPICE INC
Doing business as
PRUITTHEALTH HOSPICE-COLUMBIA
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 11, 2006
Last certification
Feb 25, 2022
Ownership / control type
Proprietary - Individual
Organization structure
CorporationProprietary
Incorporated
Oct 14, 1993 in GA
Enrollment address
240 Stoneridge Dr
Ste 302
Columbia, SC 29210-8013

Other NPIs with the same Medicare PAC ID 17

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

View all 17

Other NPIs on the same Medicare enrollment 3

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Pruitthealth Hospice- ColumbiaCCN 421565 · All quality measures
Ownership
For-Profit
Certified
Apr 11, 2006
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Pruitthealth Hospice Inc26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Locations

903 Elmwood Ave
Ste A
Columbia, SC 29201
Phone (803) 771-0489

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Lance Danko Individual W-2 Managing Employee Oct 27, 2017 100%
Hannah Burris Individual W-2 Managing Employee100 Oct 18, 2021
United Health Services Inc Organization, Toccoa, GA Corporation, Holding company, For-profit 5% Or Greater Direct Ownership Interest May 15, 2003 100%
Angela D. McCarn Individual W-2 Managing Employee Jul 1, 2020
Pruitthealth Inc Organization, Norcross, GA 5% Or Greater Direct Ownership Interest Jan 1, 2022
Operational/Managerial Control Jan 7, 2008
Lisa P Hamby Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Jan 2, 2006 28.84%
Neil Little Pruitt Individual Corporate Officer Apr 12, 1999
Corporate Director Jan 3, 2006
Neil L Pruitt Jr Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Jan 2, 2006 35.19%
Teresa Sexton Individual W-2 Managing Employee Sep 19, 2019 100%
Uhs-Pruitt Holdings, Inc. Organization, Norcross, GA Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jan 2, 2006 100%
Thomas R Beddingfield Individual Corporate DirectorDirector Sep 17, 2013
United Health Services of Georgia, Inc. Organization, Toccoa, GA 5% Or Greater Direct Ownership Interest Oct 31, 2003
J Paige Pruitt Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Jan 2, 2006 31.32%

Facilities with the same owner 123

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

  • Pruitthealth - Aiken, LLC

    dba PruittHealth - Aiken

    • Skilled Nursing Facility
    • Aiken, SC
    • NPI 1679786917

    J Paige Pruitt Trust, Uhs-Pruitt Holdings, Inc., United Health Services Inc

    CMS ownership
  • Pruitthealth - Bamberg, LLC

    dba PruittHealth - Bamberg

    • Skilled Nursing Facility
    • Bamberg, SC
    • NPI 1104063718

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

    CMS ownership
  • Pruitthealth - Barnwell, LLC

    dba PruittHealth - Barnwell

    • Skilled Nursing Facility
    • Barnwell, SC
    • NPI 1962729632

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

    CMS ownership
  • Pruitthealth - Columbia, LLC

    dba PruittHealth - Columbia

    • Skilled Nursing Facility
    • Columbia, SC
    • NPI 1790732212

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

    CMS ownership
  • Pruitthealth - Conway, LLC

    dba PruittHealth - Conway at Conway Medical Center

    • Skilled Nursing Facility
    • Conway, SC
    • NPI 1124595863

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

    CMS ownership
  • Pruitthealth - Dillon, LLC

    dba PruittHealth - Dillon

    • Skilled Nursing Facility
    • Dillon, SC
    • NPI 1639125198

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

    CMS ownership
  • Pruitthealth - Estill, LLC

    dba PruittHealth - Estill

    • Skilled Nursing Facility
    • Estill, SC
    • NPI 1174504203

    Uhs-Pruitt Holdings, Inc.

    CMS ownership
  • Pruitthealth - Moncks Corner LLC

    dba PruittHealth - Moncks Corner

    • Skilled Nursing Facility
    • Moncks Corner, SC
    • NPI 1700074564

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

    CMS ownership
  • Pruitthealth - North Augusta LLC

    dba PruittHealth - North Augusta

    • Skilled Nursing Facility
    • North Augusta, SC
    • NPI 1790951192

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

    CMS ownership
  • Pruitthealth - Orangeburg, LLC

    dba PruittHealth - Orangeburg

    • Skilled Nursing Facility
    • Orangeburg, SC
    • NPI 1013917053

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

    CMS ownership
  • Pruitthealth - Pickens, LLC

    dba PruittHealth - Pickens

    • Skilled Nursing Facility
    • Six Mile, SC
    • NPI 1073789475

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

    CMS ownership
  • Pruitthealth - Rock Hill, LLC

    dba PruittHealth - Rock Hill

    • Skilled Nursing Facility
    • Rock Hill, SC
    • NPI 1992752414

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

    CMS ownership
View all 123

Practitioners & affiliated clinicians

Affiliated clinicians 12

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": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1790723435",
    "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": "706-827-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 ELMWOOD AVE STE A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29201",
            "telephone_number": "803-771-0489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 York St",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "SC",
            "postal_code": "297061484",
            "country_code": "US",
            "telephone_number": "803-385-2002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRUITTHEALTH HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2018-06-21",
        "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": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PruittHealth Hospice - Columbia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.