PRUITTHEALTH-SAVANNAH, LLC (NPI# 1235186750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235186750 |
| Entity Type | Organization |
| Organization Name | PRUITTHEALTH-SAVANNAH, LLC |
| Other Organization Name | PRUITTHEALTH - SAVANNAH |
| Practice Address |
12825 White Bluff Road Savannah GA 31419-2993 |
| Mailing Address |
1626 Jeurgens Court Norcross GA 30093-2219 |
| Practice Telephone | 9129279416 |
| Practice Fax Number | 9129279956 |
| Mailing Telephone | 7702796200 |
| Mailing Fax Number | 7068860542 |
| Enumeration Date | 2006-05-29 |
| Last Update Date | 2014-05-20 |
| Authorized Official Name | NEIL L. PRUITT JR. (CHAIRMAN AND CEO OF MANAGER) |
| Authorized Official Telephone | 7702796200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 10251652 | GA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00238323A | 05 |
| Other Name | Type Code |
|---|---|
| PruittHealth - Savannah | Doing Business As Name - Organization |
| Street Address |
12825 WHITE BLUFF ROAD |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31419-2993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
| 1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
| 1699318139 | Jessica Kaitlyn Matthewson | Nurse Practitioner | 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 | 2019-10-28 |
| 1679133219 | Rebecca Denise Brown-tuyishimire | Counselor | Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 | 2019-06-17 |
| 1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
| 1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
| 1326538521 | Jay Carter Jr. | Social Worker | 1170 Shawnee St., Savannah, GA 31419 | 2018-05-14 |
| 1245771070 | Emily Robertson | Nurse Practitioner | 11133 Abercorm Street, Suite 10, Savannah, GA 31419 | 2017-03-13 |
| 1760833750 | Cady-jo Steidle | Behavioral Analyst | 143 Sugar Mill Cir, Savannah, GA 31419 | 2016-06-30 |
| 1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
| Find all providers in zip 31419 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578039467 | Laverna Senior Living LLC | Skilled Nursing Facility | 904 S Hall Ave, Savannah, MO 64485-1952 | 2018-10-17 |
| 1942362249 | Phlv, LLC | Skilled Nursing Facility | 904 Hall Ave, Savannah, MO 64485-0279 | 2006-12-14 |
| 1275626855 | Laverna Village Nursing Home Inc. | Skilled Nursing Facility | 904 Hall Avenue, Savannah, MO 64485-0279 | 2006-10-02 |
| 1437145620 | The Progressive Health Care Group, Inc. | Skilled Nursing Facility | 13277 State Route D, Savannah, MO 64485-9431 | 2005-09-22 |
| 1417943028 | Five Star Savannah Square LLC | Skilled Nursing Facility | 1 Savannah Square Dr, Savannah, GA 31406-6755 | 2005-09-20 |
| 1437144854 | Azalealand Management Inc | Skilled Nursing Facility | 2040 Colonial Dr, Savannah, GA 31406-2226 | 2005-09-12 |
| 1477554954 | Riverview Health and Rehabilitation Center, Inc. | Skilled Nursing Facility | 6711 Laroche Ave., Savannah, GA 31406 | 2005-08-09 |
| 1861944019 | Landmark Hospital of Savannah LLC | Skilled Nursing Facility | 800 E 68th St, Savannah, GA 31405-4710 | 2016-11-03 |
| 1295149003 | Lp Savannah, LLC | Skilled Nursing Facility | 815 E 63rd St, Savannah, GA 31405-4420 | 2014-06-19 |
| 1164848396 | Abercorn Rehabilitation Center, LLC | Skilled Nursing Facility | 11800 Abercorn St, Savannah, GA 31419-1908 | 2014-03-12 |
| Find all providers in SAVANNAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.