Pruitthealth - Seaside, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PRUITTHEALTH - SEASIDE, LLC

Doing business as

PruittHealth - Seaside

Practice address

1000 Dorset Rd
Port Wentworth, GA 31407-1517

Phone

(912) 964-1515

NPI assigned

Oct 31, 2018

Last updated

Oct 31, 2018By the provider in NPPES

Organization subpart

No

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 and Ceo of Manager

Phone

(770) 279-6200

Specialties & licenses 1

Addresses

Other names 1

• PruittHealth - Seaside Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922575679. Details of each certification follow.

• CCN 115547 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 115547

Legal name

PRUITTHEALTH - SEASIDE, LLC

Doing business as

PRUITTHEALTH - SEASIDE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 1, 1993

Last certification

Jan 7, 2024

Beds

101

Ownership / control type

Corporation

Multi-facility organization

PRUITTHEALTH

Organization structure

LLCProprietary

Incorporated

May 25, 2018 in GA

Enrollment address

1000 Dorset Rd
Port Wentworth, GA 31407-1517

Nursing home name

PRUITTHEALTH - SEASIDE

Affiliated entity

PRUITTHEALTH

Listed as

Pruitthealth - SeasideCCN 115547 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jul 1, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10176.6 residents per day on average

Chain

Pruitthealth95 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

Facilities with the same owner 122

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

• Pruitthealth - Ashburn LLC

  dba PruittHealth - Ashburn

  • Skilled Nursing Facility
  • Ashburn, GA
  • NPI 1851347108

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, United Health Services Inc, United Health Services of Georgia, Inc.

  CMS ownership
• Pruitthealth - Athens Heritage LLC

  dba PruittHealth - Athens Heritage

  • Skilled Nursing Facility
  • Athens, GA
  • NPI 1316993769

  J Paige Pruitt Trust, Lisa P Hamby Trust

  CMS ownership
• Pruitthealth - Augusta Hills LLC

  dba PruittHealth - Augusta Hills

  • Skilled Nursing Facility
  • Augusta, GA
  • NPI 1235186974

  United Health Services Inc

  CMS ownership
• Pruitthealth - Augusta, LLC

  dba PruittHealth - Augusta

  • Skilled Nursing Facility
  • Augusta, GA
  • NPI 1295908846

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, United Health Services Inc, United Health Services of Georgia, Inc.

  CMS ownership
• Pruitthealth - Austell, LLC

  dba PruittHealth - Austell

  • Skilled Nursing Facility
  • Austell, GA
  • NPI 1386690642

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, United Health Services Inc, United Health Services of Georgia, Inc.

  CMS ownership
• Pruitthealth - Bethany, LLC

  dba PruittHealth - Bethany

  • Skilled Nursing Facility
  • Millen, GA
  • NPI 1184924458

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, United Health Services Inc, United Health Services of Georgia, Inc.

  CMS ownership
• Pruitthealth - Blue Ridge, LLC

  dba PruittHealth - Blue Ridge

  • Skilled Nursing Facility
  • Blue Ridge, GA
  • NPI 1730136599

  Neil L Pruitt Jr Trust, United Health Services Inc, United Health Services of Georgia, Inc.

  CMS ownership
• Pruitthealth - Brookhaven, LLC

  dba PruittHealth - Brookhaven

  • Skilled Nursing Facility
  • Atlanta, GA
  • NPI 1336196468

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, United Health Services Inc, United Health Services of Georgia, Inc.

  CMS ownership
• Pruitthealth - Christian City, LLC

  dba Christian City Rehabilitation Center

  • Skilled Nursing Facility
  • Union City, GA
  • NPI 1720221328

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, United Health Services Inc, United Health Services of Georgia, Inc.

  CMS ownership
• Pruitthealth - Covington LLC

  dba PruittHealth - Covington

  • Skilled Nursing Facility
  • Covington, GA
  • NPI 1457797177

  J Paige Pruitt Trust, Lisa P Hamby Trust, Neil L Pruitt Jr Trust, United Health Services Inc, United Health Services of Georgia, Inc.

  CMS ownership
• Pruitthealth - Creekside, LLC

  • Skilled Nursing Facility
  • Augusta, GA
  • NPI 1104536077

  United Health Services of Georgia, Inc.

  CMS ownership
• Pruitthealth - Crestwood, LLC

  • Skilled Nursing Facility
  • Valdosta, GA
  • NPI 1063036200

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

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vlastimil Smetka, MD

  • Family Medicine Physician
  • Walterboro, SC
  • NPI 1497974273
  NPD (past)
• Rhonda L Wallace, MD

  • Family Medicine Physician
  • Bluffton, SC
  • NPI 1154341782
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Vlastimil Smetka, MD

  • Family Medicine Physician
  • Walterboro, SC
  • NPI 1497974273

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540944000000",
    "number": "1922575679",
    "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": "1000 DORSET RD",
            "city": "PORT WENTWORTH",
            "state": "GA",
            "postal_code": "314071517",
            "telephone_number": "912-964-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITTHEALTH - SEASIDE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "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 OF MANAGER",
        "authorized_official_telephone_number": "770-279-6200",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PruittHealth - Seaside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Port Wentworth, GA
• Providers in Port Wentworth, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.