PRUITTHEALTH HOME HEALTH, INC. (NPI# 1255704292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255704292 |
| Entity Type | Organization |
| Organization Name | PRUITTHEALTH HOME HEALTH, INC. |
| Other Organization Name | PRUITTHEALTH @ HOME - BRUNSWICK |
| Practice Address |
509 Olde Waterford Way Suite 205 Leland NC 28451-4125 |
| Mailing Address |
1626 Jeurgens Ct Norcross GA 30093-2219 |
| Practice Telephone | 7702796200 |
| Practice Fax Number | 7709315278 |
| Mailing Telephone | 7702796200 |
| Mailing Fax Number | 7709315278 |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2019-02-22 |
| Authorized Official Name | NEIL L. PRUITT JR. (CHAIRMAN AND CEO) |
| Authorized Official Telephone | 7702796200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| PruittHealth @ Home - Brunswick | Doing Business As Name - Organization |
| PruittHealth Home Health - Brunswick | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689199481 | Pruitthealth Home Health, Inc. | Home Health | 301 Halton Rd Ste A, Greenville, SC 29607-3498 | 2017-08-14 |
| 1770008377 | Pruitthealth Home Health, Inc. | Home Health | 139 Gateway Dr, Ladson, SC 29456-3552 | 2017-08-04 |
| 1568984656 | Pruitthealth Home Health, Inc. | Home Health | 1393 Carrollton Crossing Dr Ste 104, Kernersville, NC 27284-3896 | 2017-07-11 |
| 1891225900 | Pruitthealth Home Health, Inc. | Home Health | 950 48th Ave N Ste 102, Myrtle Beach, SC 29577-5434 | 2017-06-13 |
| 1629455175 | Pruitthealth Home Health, Inc. | Home Health | 3616 Mitchell Ave Ste 5-6, Newland, NC 28657-7855 | 2015-05-05 |
| 1891197380 | Pruitthealth Home Health, Inc. | Home Health | 810 Kennedy Ave, New Bern, NC 28560-2336 | 2014-09-16 |
| 1114267325 | Pruitthealth Home Health, Inc. | Home Health | 108 Traders Cross, Suite 100, Bluffton, SC 29909-4610 | 2013-02-25 |
| 1598004723 | Pruitthealth Home Health, Inc. | Home Health | 502 S Key St, Suite 102, Pilot Mountain, NC 27041-9601 | 2013-02-07 |
| 1396996021 | Pruitthealth Home Health, Inc. | Home Health | 85 Crye-leike Dr., Ft. Oglethorpe, GA 30742-4055 | 2008-09-30 |
| 1407016553 | Pruitthealth Home Health, Inc. | Home Health | 349 Resource Parkway, Winder, GA 30680-8364 | 2008-06-12 |
| Street Address |
509 OLDE WATERFORD WAY SUITE 205 |
| City | LELAND |
| State | NC |
| Zip Code | 28451-4125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730129412 | Carolina Healthcare Products, Inc | Durable Medical Equipment & Medical Supplies | 509 Olde Waterford Way, Suite 107, Leland, NC 28451 | 2006-06-08 |
| 1851835003 | Novant Medical Group, Inc. | Surgery | 509 Olde Waterford Way, Suite 204, Leland, NC 28451-4125 | 2016-12-07 |
| 1083061576 | Emergeortho, Pa | Orthopaedic Surgery | 509 Olde Waterford Way, Suite 103, Leland, NC 28451-4125 | 2016-05-16 |
| 1366815318 | Rizzo Enterprises, Inc. | Chiropractor | 509 Olde Waterford Way, Suite 201, Leland, NC 28451-4125 | 2015-11-12 |
| 1972990877 | The Carter Clinic, Pa | Psychiatry & Neurology | 509 Olde Waterford Way, Suite 305, Leland, NC 28451-4125 | 2015-04-20 |
| 1275926008 | Sea Hope Education & Wellness Centers Inc | Community/Behavioral Health | 509 Olde Waterford Way, Suite 305, Leland, NC 28451-4125 | 2015-03-18 |
| 1255724571 | Novant Medical Group Inc | Family Medicine | 509 Olde Waterford Way, Suite 200, Leland, NC 28451-4126 | 2015-03-11 |
| 1003237322 | Autumn Lynn Woods | Physical Therapist | 509 Olde Waterford Way, Suite 103, Leland, NC 28451-4125 | 2014-01-05 |
| 1215271119 | Orthowilmington, Pa | Durable Medical Equipment & Medical Supplies | 509 Olde Waterford Way, Suite 103, Leland, NC 28451-4125 | 2012-11-15 |
| 1427302686 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 509 Olde Waterford Way, Suite 305, Leland, NC 28451-4125 | 2012-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811427156 | Town of Leland | Ambulance | 1004 Village Rd, Leland, NC 28451 | 2017-06-19 |
| 1205389517 | Total Renal Care of North Carolina LLC | Clinic/Center | 1220 Magnolia Village Way, Leland, NC 28451 | 2016-08-03 |
| 1043696800 | William Sanders Sr. | Respite Care | 3043 Ramble Dr, Leland, NC 28451 | 2015-08-04 |
| 1457730707 | Devinn L Geeson | Dentist | 1215 Westgate Drive, Suite 180, Leland, NC 28451 | 2015-05-20 |
| 1740611706 | Mark C. Austin Omfs, Pllc | Oral & Maxillofacial Surgery | 2001 South Baxter Drive, Leland, NC 28451 | 2013-12-02 |
| 1750711123 | Donna Rose Hodnicki | Nurse Practitioner | 1132 East Cutler Crossing, Leland, NC 28451 | 2013-11-20 |
| 1992137996 | Abbey Jones Mcclanahan | Physical Therapist | 1003 Olde Waterford Way # B, Leland, NC 28451 | 2013-08-01 |
| 1306010780 | Walter B. Futch, Jr. Dds Pa | Dentist | 1006 Northgate Drive, Leland, NC 28451 | 2008-04-17 |
| 1639357429 | Sbh- Wilmington, LLC | Psychiatric Hospital | 2050 Mercantile Drive, Leland, NC 28451 | 2008-02-05 |
| 1396930137 | F.a.c. Group Homes, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 9485 Huckabee Ct, Leland, NC 28451 | 2007-09-13 |
| Find all providers in zip 28451 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821193103 | Assistedcare, Inc | Home Health | 1003 Olde Waterford Way, Suite 2c, Leland, NC 28451-4167 | 2006-09-13 |
| 1770686586 | Assistedcare Home Health, Inc | Home Health | 1003 Olde Waterford Way Ste 2d, Leland, NC 28451-4167 | 2006-09-07 |
| 1154736163 | Shorecare Solutions, Inc | Home Health | 1022 Grandiflora Dr, Suite 240, Leland, NC 28451-7007 | 2014-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831361 | Us Advocate Care LLC | Home Health | 1981 J N Pease Pl Ste 103, Charlotte, NC 28262-4529 | 2020-11-04 |
| 1376144683 | Eminent Caring Hands,llc | Home Health | 1501 Brookford Rd, Kernersville, NC 27284-9456 | 2020-11-03 |
| 1689275083 | Teddy Angels,llc | Home Health | 2575 Old Glory Rd Ste 620, Clemmons, NC 27012-9636 | 2020-11-03 |
| 1003416496 | Healing Heartsnc | Home Health | 1364 Hwy 211 West, Clarkton, NC 28433 | 2020-10-27 |
| 1467052688 | Vital Stability Home Care Services LLC | Home Health | 10130 Mallard Creek Rd Ste 338, Charlotte, NC 28262-6001 | 2020-10-27 |
| 1073112645 | Brothers Helping Hands of Nc | Home Health | 347 St Thomas Rd, Fayetteville, NC 28311-2966 | 2020-10-23 |
| 1063011724 | Andreas Family Services LLC | Home Health | 9700 Research Dr Ste 135e, Charlotte, NC 28262-8577 | 2020-10-22 |
| 1376140723 | A Lending Hand Home Care Services LLC | Home Health | 1922 S Mlk Jr Dr Ste 203, Winston Salem, NC 27107-1361 | 2020-10-07 |
| 1144827858 | Angelic Care Touch Inc | Home Health | 8601 Six Forks Rd Ste 400478, Raleigh, NC 27615-5276 | 2020-10-06 |
| 1710584529 | Christopher Amadi Amadi | Home Health | 8601 Six Forks Rd Ste 47886016, Raleigh, NC 27615-5276 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PRUITTHEALTH HOME HEALTH, INC..
| 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.