NPIMap

Organization Active NPI

Pruitthealth Hospice, Inc.

  • Community Based Hospice Care Agency
  • Charleston, SC
National Provider Identifier
1790915320
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PRUITTHEALTH HOSPICE, INC.
Doing business as
PruittHealth Hospice - Charleston
Practice address
1 Poston Road
Suite 238
Charleston, SC 29401-3463
Phone
(843) 573-8623
Fax
(843) 573-8661
NPI assigned
Jul 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1 Poston Road
Suite 238
Charleston, SC 29401-3463

Mailing address

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

Other names 1

  • PruittHealth Hospice - Charleston Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070111000268 GA Part A Provider - Hospice 2264344217 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Aiken, SC; Ladson, SC

Hospice certification: CCN 421573

Legal name
PRUITTHEALTH HOSPICE INC
Doing business as
PRUITTHEALTH HOSPICE - CHARLESTON
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 3, 2007
Last certification
Mar 24, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Oct 14, 1993 in GA
Enrollment address
139 Gateway Dr
Ladson, SC 29456-3552

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Pruitthealth Hospice- CharlestonCCN 421573
Ownership
For-Profit
Certified
May 3, 2007
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1 Poston Rd
Ste 238
Charleston, SC 29407
Phone (843) 573-8623

Ownership & related parties

All disclosed owners & managing parties 11

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 Direct Ownership Interest Jan 7, 2008
5% Or Greater Indirect Ownership Interest Jan 2, 2006 100%
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 31.65%
Neil Little Pruitt Individual Corporate OfficerChairman and Ceo Jun 9, 2006 100%
Corporate DirectorChairman and Ceo Jun 9, 2006 50%
OtherChain Home Office Administrator/ Jun 9, 2006 100%
Dorri Miller Individual W-2 Managing EmployeeAd; Feb 19, 2024
Neil L Pruitt Jr Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Jan 2, 2006 35.93%
Uhs-Pruitt Holdings, Inc. Organization, Norcross, GA For-profit 5% Or Greater Indirect Ownership Interest Jan 2, 2006 100%
Thomas R Beddingfield Individual Corporate DirectorDirector Sep 17, 2013 50%
United Health Services of Georgia, Inc. Organization, Norcross, GA 5% Or Greater Direct Ownership Interest Jan 7, 2008
Deanna Baughman Individual W-2 Managing Employee Sep 6, 2020 100%
J Paige Pruitt Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Jan 2, 2006 31.32%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 7

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": "1247702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1790915320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 JEURGENS COURT",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932219",
            "telephone_number": "770-279-6200",
            "fax_number": "770-931-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 POSTON ROAD",
            "address_2": "SUITE 238",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294013463",
            "telephone_number": "843-573-8623",
            "fax_number": "843-573-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITTHEALTH HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-16",
        "last_updated": "2014-05-27",
        "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": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PruittHealth Hospice - Charleston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.