Organization Active NPI

Pruitthealth - Lafayette, LLC

  • Skilled Nursing Facility
  • La Fayette, GA
National Provider Identifier
1962459487
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-146-1721 Issued in GA
Legal business name
PRUITTHEALTH - LAFAYETTE, LLC
Practice address
205 Roadrunner Blvd
La Fayette, GA 30728-2161
Phone
(706) 638-4662
NPI assigned
May 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 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 and Ceo of Manager
Phone
(770) 279-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1-146-1721 GA Primary

Addresses

Primary practice location

205 Roadrunner Blvd
La Fayette, GA 30728-2161

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
00254394AMedicaidGA

Other names 1

  • PruittHealth - Lafayette Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030225000017 GA Part A Provider - Skilled Nursing Facility 9931018488 Practice locations: La Fayette, GA

Skilled nursing facility certification: CCN 115304

Legal name
PRUITTHEALTH - LAFAYETTE, LLC
Doing business as
PRUITTHEALTH - LAFAYETTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 13, 1982
Last certification
Mar 16, 2025
Beds
100
Ownership / control type
Corporation
Multi-facility organization
PRUITTHEALTH
Organization structure
LLCProprietary
Incorporated
Sep 24, 2007 in GA
Enrollment address
205 Roadrunner Blvd
La Fayette, GA 30728-2161
Nursing home name
PRUITTHEALTH - LAFAYETTE
Affiliated entity
PRUITTHEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pruitthealth - LafayetteCCN 115304
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Dec 13, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10074.4 residents per day on average
Chain
Pruitthealth95 facilities in the chain
Penalties (3 years)
1Fines totaling $4,963

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Richard Washington Individual W-2 Managing EmployeeFacility Administrator Aug 9, 2021 100%
Delores Scroggs Individual W-2 Managing EmployeeFacility Administrator Apr 28, 2021 100%
United Health Services Inc Organization, Norcross, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 24, 2007 100%
Pruitthealth Inc Organization, Toccoa, GA Corporation, For-profit Other Sep 24, 2007 100%
Lisa P Hamby Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Sep 24, 2007 28.84%
Neil Little Pruitt Individual Corporate OfficerChairman and Ceo Nov 21, 2002 100%
Corporate DirectorChairman and Ceo Nov 21, 2002 100%
Operational/Managerial Control Nov 21, 2002
Neil L Pruitt Jr Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Sep 24, 2007 35.2%
Uhs-Pruitt Holdings, Inc. Organization, Norcross, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 24, 2007 100%
United Health Services of Georgia, Inc. Organization, Norcross, GA Corporation, For-profit 5% Or Greater Direct Ownership Interest Sep 24, 2007 99%
J Paige Pruitt Trust Organization, Norcross, GA 5% Or Greater Indirect Ownership Interest Sep 24, 2007 26.13%

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.

NPI Registry JSON

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

{
    "created_epoch": "1148860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1962459487",
    "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": "205 ROADRUNNER BLVD",
            "city": "LA FAYETTE",
            "state": "GA",
            "postal_code": "307282161",
            "telephone_number": "706-638-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITTHEALTH - LAFAYETTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-29",
        "last_updated": "2014-07-02",
        "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": "GA",
            "license": "1-146-1721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00254394A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PruittHealth - Lafayette",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Fayette, GA

Sources for this page

Verify at the official NPI Registry.