Pruitthealth - Barnwell, LLC
Organization Active NPI Skilled Nursing Facility · Barnwell, SC
NPI 1962729632 · NPPES record last updated Jun 30, 2014
Key facts
- NPI
- 1962729632
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- PRUITTHEALTH - BARNWELL, LLC
- Practice address
- 31 Wren Street
Barnwell, SC 29812-1528 - Phone
- (803) 259-5547
- Fax
- (803) 259-7350
- NPI assigned
- Apr 21, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. Neil L. Pruitt Jr.
- Title
- Chairman and Ceo
- Phone
- (770) 279-6200
Facilities with the same owner 123
Affiliated clinicians 1
-
Jason K Barber, M.D.
Medicare Care Compare: Nursing home
- Listed as
- PruittHealth- Barnwell
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★★ 5 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jun 13, 1973
- Medicare certification status
- Active
- Certified beds
- 44 · 41.9 residents per day on average
- Chain
- Pruitthealth
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Skilled nursing facility certification: CCN 425097
- Legal name
- PRUITTHEALTH - BARNWELL, LLC
- Doing business as
- PRUITTHEALTH - BARNWELL
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 13, 1973
- Last certification
- Jun 12, 2025
- Beds
- 44
- Ownership / control type
- Corporation
- Multi-facility organization
- Pruitthealth
- Most recent change of ownership
- Jul 9, 2010
- Organization structure
- LLC · Proprietary
- Incorporated
- Mar 16, 2010 in SC
- Enrollment address
- 31 Wren St
Barnwell, SC 29812-1528 - Nursing home name
- PRUITTHEALTH- BARNWELL
- Affiliated entity
- PRUITTHEALTH
All disclosed owners & managing parties 19
| Name | Role | Since | Share |
|---|---|---|---|
| |
Adp of the SNF | Nov 11, 2019 | |
| United Health Services Inc |
5% Or Greater Indirect Ownership Interest | Mar 16, 2010 | 100% |
| Indirect Ownership Interest | Mar 16, 2010 | 100% | |
| Philip W. Small |
Corporate Director |
Nov 27, 2013 | |
| |
Adp of the SNF | Jun 22, 2021 | |
| Indirect Ownership Interest | Jun 22, 2021 | 2.4% | |
| |
Adp of the SNF | Nov 27, 2013 | |
| Lisa P Hamby Trust |
5% Or Greater Indirect Ownership Interest | Aug 12, 2020 | 22.98% |
| Adp of the SNF | Aug 12, 2020 | ||
| Indirect Ownership Interest | Aug 12, 2020 | 22.98% | |
| Neil Little Pruitt |
Corporate Officer |
Mar 16, 2010 | 100% |
| Direct Ownership Interest | Nov 27, 2013 | 1% | |
| |
Indirect Ownership Interest | Jun 22, 2021 | 2.4% |
| |
Adp of the SNF | Apr 17, 2025 | |
| United Health Services of South Carolina Inc |
5% Or Greater Direct Ownership Interest | Mar 16, 2010 | 99% |
| Direct Ownership Interest | Mar 16, 2010 | 99% | |
| Neil L Pruitt Jr Trust |
5% Or Greater Indirect Ownership Interest | Aug 12, 2020 | 42.64% |
| Adp of the SNF | Aug 12, 2020 | ||
| Indirect Ownership Interest | Aug 12, 2020 | 42.86% | |
| NWP 2020 Child TR Fbo Neil L Pruitt Jr |
5% Or Greater Indirect Ownership Interest | Jun 22, 2021 | 6.29% |
| Indirect Ownership Interest | Jun 22, 2021 | 6.29% | |
| |
Adp of the SNF | Aug 18, 2020 | |
| Indirect Ownership Interest | Aug 18, 2020 | 1.59% | |
| Nancy W Pruitt |
Corporate Officer |
Nov 27, 2013 | |
| Mary Jamison |
Operational/Managerial Control | Jul 3, 2016 | |
| Adp of the SNF | Apr 17, 2025 | ||
| Pruitthealth Consulting Services Inc |
Adp of the SNF | Nov 26, 2013 | |
| Uhs-Pruitt Holdings, Inc. |
5% Or Greater Indirect Ownership Interest | Apr 19, 2010 | 100% |
| Indirect Ownership Interest | Apr 19, 2010 | ||
| |
Adp of the SNF | Nov 27, 2013 | |
| J Paige Pruitt Trust |
5% Or Greater Indirect Ownership Interest | Jun 22, 2021 | 42.68% |
| Adp of the SNF | Aug 12, 2020 | ||
| Indirect Ownership Interest | Jun 22, 2021 | 42.86% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101011001011 | SC | Part a Provider - Skilled Nursing Facility | 0345432258 | Practice locations: Barnwell, SC |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
31 Wren Street
Barnwell, SC 29812-1528
Mailing address
1626 Jeurgens CT
Norcross, GA 30093-2219
Phone (770) 279-6200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 212740 | Medicaid | SC |
Other names
- PruittHealth - Barnwell
NPI Registry JSON
{
"created_epoch": "1271808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404086400000",
"number": "1962729632",
"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": "31 WREN STREET",
"city": "BARNWELL",
"state": "SC",
"postal_code": "298121528",
"telephone_number": "803-259-5547",
"fax_number": "803-259-7350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRUITTHEALTH - BARNWELL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-21",
"last_updated": "2014-06-30",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "212740",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PruittHealth - Barnwell",
"code": "3",
"type": "Doing Business As"
}
]
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All providers in Barnwell, SC · Skilled Nursing Facility in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.