R.E. Pruitt Organization, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

R.E. PRUITT ORGANIZATION, INC.

Practice address

25000 Euclid Ave Ste 101
Euclid, OH 44117-2621

Phone

(216) 744-9492

NPI assigned

Oct 25, 2018

Organization subpart

No

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

Authorized official

Name

Eunetta Brimage

Title

Executive Director

Phone

(216) 744-9492

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1952878209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25000 EUCLID AVE STE 101",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441172621",
            "telephone_number": "216-744-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25000 EUCLID AVE STE 101",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441172621",
            "telephone_number": "216-744-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.E. PRUITT ORGANIZATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-25",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "BRIMAGE",
        "authorized_official_first_name": "EUNETTA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "216-744-9492"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0165730",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Euclid, OH
• Providers in Euclid, OH by specialty
• Case Management Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.