NPIMap

Organization Active NPI

Pruitthealth - North Tampa, LLC

  • Skilled Nursing Facility
  • Lutz, FL
National Provider Identifier
1821705237
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PRUITTHEALTH - NORTH TAMPA, LLC
Practice address
18940 Sunlake Blvd
Lutz, FL 33558-4943
Phone
(770) 296-6200
NPI assigned
Nov 4, 2022
Last updated
Nov 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

18940 Sunlake Blvd
Lutz, FL 33558-4943

Mailing address

1626 Jeurgens CT
Attn: Legal Dept
Norcross, GA 30093
Phone (770) 279-6200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230304000095 FL Part A Provider - Skilled Nursing Facility 1153794581 Practice locations: Lutz, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821705237. Details of each certification follow.

Skilled nursing facility certification: CCN 106150

Legal name
PRUITTHEALTH - NORTH TAMPA, LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 15, 2023
Last certification
Mar 15, 2023
Beds
90
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Pruitthealth, Inc.
Organization structure
LLCProprietary
Incorporated
Oct 16, 2014 in FL
Enrollment address
18940 Sunlake Blvd
Lutz, FL 33558-4943
Nursing home name
PRUITTHEALTH-NORTH TAMPA, LLC
Affiliated entity
PRUITTHEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pruitthealth-North Tampa, LLCCCN 106150 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 15, 2023
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9084.2 residents per day on average
Chain
Pruitthealth95 facilities in the chain
Penalties (3 years)
6Fines totaling $32,812

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
10D2272815Pruitthealth - North Tampa, LLC18940 Sunlake Blvd, Lutz, FL 33558Certificate of waiverNov 29, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Pruitthealth Central Florida LLC Organization, Norcross, GA LLC 5% Or Greater Direct Ownership Interest Oct 16, 2014 99%
United Health Services Inc Organization, Norcross, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Oct 16, 2014 99%
Pruitthealth Inc Organization, Toccoa, GA Corporation, For-profit Other Oct 16, 2014
United Health Services of Florida, Inc Organization, Norcross, GA Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Oct 16, 2014 99%
Neil Little Pruitt Individual 5% Or Greater Direct Ownership Interest Oct 16, 2014 1%
Corporate OfficerChairman and Ceo Oct 16, 2014 1%
Operational/Managerial ControlChairman and Ceo Oct 16, 2014 1%
Uhs-Pruitt Holdings, Inc. Organization, Norcross, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Oct 16, 2014 99%
John D Fitts Individual Operational/Managerial ControlNursing Home Administrator Sep 12, 2022

Facilities with the same owner 120

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

View all 120

Practitioners & affiliated clinicians

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": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1821705237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 JEURGENS CT",
            "address_2": "ATTN: LEGAL DEPT",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "30093",
            "telephone_number": "770-279-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18940 SUNLAKE BLVD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335584943",
            "telephone_number": "770-296-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITTHEALTH - NORTH TAMPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-03",
        "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_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.