PRUITTHEALTH HOSPICE, INC. (NPI# 1316985336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316985336 |
| Entity Type | Organization |
| Organization Name | PRUITTHEALTH HOSPICE, INC. |
| Other Organization Name | PRUITTHEALTH HOSPICE - ATLANTA |
| Practice Address |
1626 Jeurgens Ct Norcross GA 30093-2219 |
| Mailing Address |
1626 Jeurgens Court Norcross GA 30093-2219 |
| Practice Telephone | 7702796200 |
| Mailing Telephone | 7709254788 |
| Mailing Fax Number | 7702796230 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2014-07-07 |
| 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 | 251G00000X | Hospice Care, Community Based | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00587518A | 05 |
| Other Name | Type Code |
|---|---|
| PruittHealth Hospice - Atlanta | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386036473 | Pruitthealth Hospice, Inc. | Hospice, Inpatient | 2944 Breezewood Avenue, Suite 102, Fayetteville, NC 28303-5415 | 2015-02-26 |
| 1881983419 | Pruitthealth Hospice, Inc. | Hospice Care, Community Based | 902 West D St, Ste B, North Wilkesboro, NC 28659 | 2011-04-05 |
| 1265761118 | Pruitthealth Hospice, Inc. | Hospice Care, Community Based | 903 Elmwood Avenue, Suites A and B, Columbia, SC 29201-2066 | 2009-12-23 |
| 1790915320 | Pruitthealth Hospice, Inc. | Hospice Care, Community Based | 1 Poston Road, Suite 238, Charleston, SC 29401-3463 | 2009-07-16 |
| 1184860306 | Pruitthealth Hospice, Inc. | Hospice Care, Community Based | 102 East Curtis Street, Simpsonville, SC 29681-2620 | 2008-12-17 |
| 1003996711 | Pruitthealth Hospice, Inc. | Hospice Care, Community Based | 171 Church St, Suite 210, Charleston, SC 29401-3135 | 2006-10-17 |
| 1750329116 | Pruitthealth Hospice, Inc. | Hospice, Inpatient | 810 Kennedy Avenue, New Bern, NC 28560 | 2006-06-04 |
| 1841238441 | Pruitthealth Hospice, Inc. | Hospice Care, Community Based | 35 Three Rivers Dr Ne, Rome, GA 30161-4998 | 2006-06-04 |
| 1992744361 | Pruitthealth Hospice, Inc. | Hospice Care, Community Based | 2313 Executive Cir Ste A, Greenville, NC 27834 | 2006-06-04 |
| 1902844830 | Pruitthealth Hospice, Inc. | Hospice Care, Community Based | 609 S Coit St, Florence, SC 29501-5222 | 2006-06-03 |
| Street Address |
1626 JEURGENS CT |
| City | NORCROSS |
| State | GA |
| Zip Code | 30093-2219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669097895 | Kedy Ernst Jean-louis | Social Worker | 1626 Jeurgens Ct, Norcross, GA 30093-2219 | 2020-06-12 |
| 1821645748 | Nikki Reed | Nurse Practitioner | 1626 Jeurgens Ct, Norcross, GA 30093-2219 | 2019-08-26 |
| 1447719711 | Nassifatou Bakary | Nurse Practitioner | 1626 Jeurgens Ct, Norcross, GA 30093-2219 | 2019-03-17 |
| 1831693746 | Michelle Doolittle | Registered Nurse | 1626 Jeurgens Ct, Norcross, GA 30093-2219 | 2018-03-23 |
| 1043676299 | Pruitthealth Physicians Services, LLC | Family Medicine | 1626 Jeurgens Ct, Norcross, GA 30093-2219 | 2016-01-04 |
| 1629441514 | Pruitthealth Therapy Services | Assisted Living Facility | 1626 Jeurgens Ct, Norcross, GA 30093-2219 | 2015-11-02 |
| 1063544427 | Pruitthealth Care Management, Inc. | Case Management | 1626 Jeurgens Ct, Norcross, GA 31602 | 2007-03-12 |
| 1346385333 | Pruitthealth Pharmacy Services - Atlanta, Inc. | Pharmacy | 1626 Jeurgens Ct, Suite A, Norcross, GA 30093-2219 | 2007-02-20 |
| 1962547992 | Pruitthealth Pharmacy Services - Atlanta, Inc. | Pharmacy | 1626 Jeurgens Ct, Norcross, GA 30093-2219 | 2007-02-20 |
| 1871519629 | Margaret Anne White | Internal Medicine | 1626 Jeurgens Ct, Norcross, GA 30093-2219 | 2006-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517465 | Tequila Olivia Banks | Counselor | 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 | 2020-10-27 |
| 1922643485 | Anthony Ervin | Case Manager/Care Coordinator | 6251 Smithpoint Dr. Bldg B, Peachtree Corners, GA 30093 | 2019-11-08 |
| 1164908885 | Marianne Altares | Speech-Language Pathologist | 1709 Oakbrook Lake Dr, Norcross, GA 30093 | 2018-07-16 |
| 1518480763 | Braces Now 14, LLC | Dentist | 4141 Steve Reynolds Blvd, Suite 2, Norcross, GA 30093 | 2017-07-19 |
| 1457802902 | Audrey Fernandes | Dentist | 4846 Jimmy Carter Blvd, Suite 203, Norcross, GA 30093 | 2016-10-19 |
| 1922456318 | Diana Lleras | Counselor | 6020 Dawson Bld Suite I, Norcross, GA 30093 | 2016-05-26 |
| 1376941500 | Katerine Velez | Counselor | 6020 Dawson Blvd., Siute I, Norcross, GA 30093 | 2014-12-22 |
| 1679979017 | Allison Ballay Donnelly | Speech-Language Pathologist | 1626 Jeurgens Ct., Norcross, GA 30093 | 2014-11-12 |
| 1588913701 | Sunrise Pharmacy | Pharmacy | 1235 Indian Trail Rd, Suite 200a, Norcross, GA 30093 | 2012-09-04 |
| 1821347154 | Shakirah Forde | Counselor | 1770 Indian Trail Lilburn Rd Ste 120, Norcross, GA 30093 | 2012-08-31 |
| Find all providers in zip 30093 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144832494 | Circle of Hope Hospice | Hospice Care, Community Based | 5750 Brook Hollow Pkwy Ste 105, Norcross, GA 30071-3515 | 2020-08-18 |
| 1295182756 | Laterica Leshun Mcdonald | Hospice Care, Community Based | 1405 Beaver Ruin Rd Apt 609, Norcross, GA 30093-3348 | 2016-05-15 |
| 1548678923 | Sovereign Hospice Inc. | Hospice Care, Community Based | 5675 Jimmy Carter Blvd Ste 100b, Norcross, GA 30071-4666 | 2014-07-29 |
| 1124312574 | Angelic Arms Home Hospice, LLC | Hospice Care, Community Based | 5950 Live Oak Parkway, Suite 240, Norcross, GA 30093-1743 | 2011-06-02 |
| 1174579890 | Optum Palliative and Hospice Care, Inc. | Hospice Care, Community Based | 3720 Da Vinci Court, Suite 400, Norcross, GA 30092 | 2006-05-25 |
| 1639704000 | Passionate Care Hospice.llc | Hospice Care, Community Based | 5750 Brook Hollow Pkwy Ste 102, Norcross, GA 30071-3515 | 2020-03-06 |
| 1326598681 | Compassus Op of Georgia I LLC | Hospice Care, Community Based | 3720 Davinci Ct, Ste 400, Norcross, GA 30092-7627 | 2016-10-11 |
| 1336507557 | American Comfort Givers Hospice LLC | Hospice Care, Community Based | 5627 Singleton Rd, Norcross, GA 30093-2208 | 2016-02-02 |
| 1598134975 | Capstone Hospice, LLC | Hospice Care, Community Based | 5672 Peachtree Pkwy, Suite J, Norcross, GA 30092-2872 | 2015-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153492 | Legacy Hospice Ga | Hospice Care, Community Based | 1700 Frederica Rd Ste 205, St Simons Island, GA 31522-2583 | 2020-10-28 |
| 1013515030 | Perimeter Hospice of Georgia | Hospice Care, Community Based | 150 Stanley Ct Ste E, Lawrenceville, GA 30046-5215 | 2020-10-12 |
| 1780291039 | Goldencare Hospice and Palliative Care | Hospice Care, Community Based | 7555 Bridgegate Ct, Sandy Springs, GA 30350-4604 | 2020-09-29 |
| 1255947651 | Community Hospice of Georgia | Hospice Care, Community Based | 321 N Main St Ste A, Adairsville, GA 30103-2403 | 2020-09-21 |
| 1437762382 | Allaway Angels | Hospice Care, Community Based | 805 Deerfield Ct, Stone Mountain, GA 30087-5483 | 2020-08-28 |
| 1518578335 | Jaslinks Hospice Inc | Hospice Care, Community Based | 2282 Meadow Church Rd Ste 300, Duluth, GA 30097-5318 | 2020-08-14 |
| 1104434570 | An Angels Touch Hospice LLC | Hospice Care, Community Based | 2345 4th St Ste 600d, Tucker, GA 30084-8518 | 2020-07-21 |
| 1609494327 | Divine Guardian LLC | Hospice Care, Community Based | 2321 4th St Ste 210, Tucker, GA 30084-8516 | 2020-07-09 |
| 1184242026 | Champions Nursing Services, LLC | Hospice Care, Community Based | 2365 Wall St Se Ste 210, Conyers, GA 30013-2197 | 2020-07-07 |
| 1700408127 | Tapestry Healthcare LLC | Hospice Care, Community Based | 2950 Cherokee St Nw Ste 900, Kennesaw, GA 30144-6505 | 2020-05-07 |
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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.