Organization Active NPI

The Oaks - Bethany Skilled Nursing, LLC

  • Skilled Nursing Facility
  • Vidalia, GA
National Provider Identifier
1891095162
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THE OAKS - BETHANY SKILLED NURSING, LLC
Practice address
1305 East North Street
Vidalia, GA 30474-8624
Phone
(912) 537-7922
Fax
(912) 537-0216
NPI assigned
Nov 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 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
Skilled Nursing Facility 314000000X GA Primary

Addresses

Primary practice location

1305 East North Street
Vidalia, GA 30474-8624

Mailing address

1626 Jeurgens Court
Norcross, GA 30093
Phone (770) 379-6200

Other identifiers 1

IdentifierTypeStateIssuer
00140258AMedicaidGA

Other names 1

  • The Oaks - Bethany Skilled Nursing Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110105000747 GA Part A Provider - Skilled Nursing Facility 8527257658 Practice locations: Vidalia, GA

Skilled nursing facility certification: CCN 115705

Legal name
THE OAKS - BETHANY SKILLED NURSING, LLC
Doing business as
THE OAKS - BETHANY SKILLED NURSING
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 1, 2005
Last certification
Mar 6, 2025
Beds
168
Ownership / control type
Corporation
Multi-facility organization
Pruitthealth
Organization structure
LLCProprietary
Incorporated
Oct 21, 2010 in GA
Enrollment address
1305 East North Street
Vidalia, GA 30474-8624
Nursing home name
OAKS - BETHANY SKILLED NURSING, THE
Affiliated entity
PRUITTHEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Oaks - Bethany Skilled Nursing, theCCN 115705
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Nov 1, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
168101.4 residents per day on average
Chain
Pruitthealth95 facilities in the chain

Processed by Care Compare on Aug 1, 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
Mark Findley Individual W-2 Managing EmployeeFacility Administrator Jun 28, 2021 100%
United Health Services Inc Organization, Norcross, GA For-profit 5% Or Greater Indirect Ownership Interest Oct 21, 2010 99%
Pruitthealth Inc Organization, Norcross, GA Corporation, For-profit Other Nov 1, 2010
Lisa P Hamby Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Oct 21, 2010 26.13%
Neil Little Pruitt Individual Corporate OfficerChairman and Ceo Nov 1, 2010 100%
Corporate DirectorChairman and Ceo Nov 1, 2010 100%
OtherCho Administrator/Ao Nov 1, 2010 100%
Neil L Pruitt Jr Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Oct 21, 2010 35.2%
Uhs-Pruitt Holdings, Inc. Organization, Norcross, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Oct 21, 2010 100%
United Health Services of Georgia, Inc. Organization, Norcross, GA Corporation, For-profit 5% Or Greater Direct Ownership Interest Nov 1, 2010 99%
J Paige Pruitt Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Oct 21, 2010 28.84%

Facilities with the same owner 123

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

View all 123

Practitioners & affiliated clinicians

Practitioners 1

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

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": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1891095162",
    "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": "30093",
            "telephone_number": "770-379-6200",
            "fax_number": "770-931-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 EAST NORTH STREET",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748624",
            "telephone_number": "912-537-7922",
            "fax_number": "912-537-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OAKS - BETHANY SKILLED NURSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2014-06-27",
        "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": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00140258A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Oaks - Bethany Skilled Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vidalia, GA

Sources for this page

Verify at the official NPI Registry.