NPIMap

Organization Active NPI

Pruitthealth Hospice, Inc.

  • Community Based Hospice Care Agency
  • Florence, SC
National Provider Identifier
1902844830
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PRUITTHEALTH HOSPICE, INC.
Practice address
609 S Coit St
Florence, SC 29501-5222
Phone
(843) 662-8633
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Authorized official

Name
Neil L. Pruitt Jr.
Title
Chairman & Ceo of MGR
Phone
(770) 279-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

609 S Coit St
Florence, SC 29501-5222

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
HSPO65MedicaidSC

Other names 1

  • PruittHealth Hospice - Pee Dee Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050423000050 SC Part A Provider - Hospice 2264344217 Practice locations: Florence, SC
O20221214002911 SC Part B Supplier - Clinic/Group Practice 2264344217 Receives reassigned benefits from 16 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Okatie, SC; Ladson, SC; Greenville, SC; Columbia, SC; Anderson, SC; Aiken, SC; Florence, SC

Hospice certification: CCN 421556

Legal name
PRUITTHEALTH HOSPICE INC
Doing business as
PRUITTHEALTH HOSPICE - PEE DEE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 2, 2005
Last certification
Oct 29, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Oct 14, 1993 in GA
Enrollment address
2051 Elijah Ludd Rd
Ste 1
Florence, SC 29501-3942

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 6

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

Care Compare: Hospice

Medicare Care Compare
Listed as
United Hospice of the Pee DeeCCN 421556
Ownership
For-Profit
Certified
Jun 2, 2005
Medicare certification status
ActiveFrom the Provider of Services file

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
42D1047818Pruitthealth Hospice-Pee Dee2051 Elijah Ludd Road, Suite 1, Florence, SC 29501Certificate of waiverNov 14, 2027

National Provider Directory

National Provider Directory
Tax ID family
Pruitthealth Hospice Inc25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

View all 24

Locations

2051 Elijah Ludd Rd
Ste 1
Florence, SC 29501
Phone (843) 573-8623

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
Sonya Walker Individual W-2 Managing Employee Nov 5, 2018
United Health Services Inc Organization, Norcross, GA For-profit 5% Or Greater Indirect Ownership Interest Jan 2, 2006 100%
Philip W. Small Individual Corporate DirectorDirector Sep 17, 2013
Pruitthealth Inc Organization, Norcross, GA For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2022
Operational/Managerial Control Jan 2, 2006
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 Mar 3, 2003
Corporate DirectorDirector Mar 3, 2003
OtherChain Home Office Admin, Ao Mar 3, 2003
Neil L Pruitt Jr Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Jan 2, 2006 35.93%
Vicki McKendrick Individual W-2 Managing EmployeeAdmin May 14, 2018
Nancy W Pruitt Individual Corporate OfficerSecretary Oct 14, 1993
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
United Health Services of Georgia, Inc. Organization, Norcross, GA For-profit 5% Or Greater Direct Ownership Interest Oct 31, 2003 100%
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
    • Skilled Nursing Facility
    • Aiken, SC
    • NPI 1679786917

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

    CMS ownership
  • Pruitthealth - Bamberg, LLC
    • 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
    • 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
    • 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
    • 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
    • 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
    • Skilled Nursing Facility
    • Estill, SC
    • NPI 1174504203

    Uhs-Pruitt Holdings, Inc.

    CMS ownership
  • Pruitthealth - Moncks Corner LLC
    • 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
    • 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
    • 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
    • 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 - Ridgeway, LLC
    • Skilled Nursing Facility
    • Ridgeway, SC
    • NPI 1104865138

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

    CMS ownership
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 5

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": "1406160000000",
    "number": "1902844830",
    "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": "609 S COIT ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015222",
            "telephone_number": "843-662-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITTHEALTH HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHAIRMAN & CEO OF MGR",
        "authorized_official_telephone_number": "770-279-6200",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSPO65",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PruittHealth Hospice - Pee Dee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.