Organization Active NPI

Pruitthealth - Columbia, LLC

Doing business as PruittHealth - Columbia

  • Skilled Nursing Facility
  • Columbia, SC
National Provider Identifier
1790732212
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NCF-880 Issued in SC
Legal business name
PRUITTHEALTH - COLUMBIA, LLC
Doing business as
PruittHealth - Columbia
Practice address
2451 Forest Dr
Columbia, SC 29204-2026
Phone
(803) 254-5960
NPI assigned
May 29, 2006
Last updated
Jun 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Neil L Pruitt
Title
Chairman and Ceo
Phone
(770) 279-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NCF-880 SC Primary

Addresses

Primary practice location

2451 Forest Dr
Columbia, SC 29204-2026

Mailing address

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

Other names 1

  • PruittHealth - Columbia Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050225000175 SC Part A Provider - Skilled Nursing Facility 8325091713 Practice locations: Columbia, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790732212. Details of each certification follow.

Skilled nursing facility certification: CCN 425013

Legal name
PRUITTHEALTH-COLUMBIA LLC
Doing business as
PRUITTHEALTH- COLUMBIA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Aug 1, 2024
Beds
144
Ownership / control type
Corporation
Multi-facility organization
Pruitt Health Corporation
Organization structure
LLCProprietary
Incorporated
Oct 28, 2004 in SC
Enrollment address
2451 Forest Dr
Columbia, SC 29204-2026
Nursing home name
PRUITTHEALTH- COLUMBIA
Affiliated entity
PRUITTHEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
PruittHealth- ColumbiaCCN 425013 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
144133.8 residents per day on average
Chain
Pruitthealth95 facilities in the chain
Penalties (3 years)
2Fines totaling $48,523

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
42D0981995Pruitthealth - Columbia, LLC2451 Forest Drive, Columbia, SC 29204Certificate of waiverJan 11, 2027

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
Patricia Lee Individual W-2 Managing EmployeeAdministrator Oct 18, 2013
United Health Services Inc Organization, Norcross, GA Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Oct 28, 2004 99%
Pruitthealth Inc Organization, Norcross, GA For-profit Other Oct 28, 2004
Lisa P Hamby Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Jan 2, 2006 31.74%
Neil Little Pruitt Individual Corporate OfficerChairman and Ceo Oct 28, 2004 100%
Corporate DirectorChairman and Ceo Oct 28, 2004 100%
Operational/Managerial ControlChairman and Ceo of Manager Oct 28, 2004
OtherChain Home Officer Administrator Oct 28, 2004 100%
United Health Services of South Carolina Inc Organization, Norcross, GA Corporation, Holding company, For-profit 5% Or Greater Direct Ownership Interest Oct 28, 2004 99%
Neil L Pruitt Jr Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Jan 2, 2006 37.03%
Uhs-Pruitt Holdings, Inc. Organization, Norcross, GA Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jan 2, 2006 99%
J Paige Pruitt Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Jan 2, 2006 29.09%

Facilities with the same owner 122

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

View all 122

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1148860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1790732212",
    "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": "2451 FOREST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042026",
            "telephone_number": "803-254-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITTHEALTH - COLUMBIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-29",
        "last_updated": "2014-06-30",
        "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."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SC",
            "license": "NCF-880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PruittHealth - Columbia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.