PRUITTHEALTH HOSPICE, INC. (NPI# 1417995556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417995556 |
| Entity Type | Organization |
| Organization Name | PRUITTHEALTH HOSPICE, INC. |
| Other Organization Name | PRUITTHEALTH HOSPICE - BLUE RIDGE |
| Practice Address |
6050 Appalachian Hwy Blue Ridge GA 30513-4283 |
| Mailing Address |
1626 Jeurgens Ct Norcross GA 30093-2219 |
| Practice Telephone | 7066320027 |
| Practice Fax Number | 7066325673 |
| Mailing Telephone | 7702796200 |
| Mailing Fax Number | 7709315278 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2014-05-21 |
| Authorized Official Name | MR. 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 | 00849505B | 05 |
| Other Name | Type Code |
|---|---|
| PruittHealth Hospice - Blue Ridge | 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 |
6050 APPALACHIAN HWY |
| City | BLUE RIDGE |
| State | GA |
| Zip Code | 30513-4283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141491 | Megan Cole Roper | Nurse Practitioner | 6050 Appalachian Hwy, Blue Ridge, GA 30513-4283 | 2020-07-14 |
| 1669410122 | Pruitthealth Home Health, Inc. | Home Health | 6050 Appalachian Hwy, Blue Ridge, GA 30513-4283 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356804561 | Christine Gangwisch | Registered Nurse | 3855 Old Highway 5 Ste 110, Blue Ridge, GA 30513 | 2019-04-13 |
| 1013474659 | Ten Dental LLC | Dentist | 330 Progress Circle Ste C, Blue Ridge, GA 30513 | 2019-03-01 |
| 1932646262 | David Lee Durham | Pharmacist | 5679 Appalachian Highway, Blue Ridge, GA 30513 | 2017-01-25 |
| 1659754398 | Jordan Patton | Ophthalmology | 266 Orvin Lance Dr Ste 5, Blue Ridge, GA 30513 | 2015-06-30 |
| 1063824977 | Christy Russell | Pharmacist | 97 Commerce Drive, Blue Ridge, GA 30513 | 2014-05-27 |
| 1588008429 | Nathan William Kincaid | Surgery | 2855 Old Highway 5 Ste 108, Blue Ridge, GA 30513 | 2013-04-22 |
| 1972800175 | W. Max Couch, Jr., Dds, Mds, LLC | Dentist | 2714 East First Street, Blue Ridge, GA 30513 | 2011-02-24 |
| 1760792246 | Med-trans Corporation | Ambulance | 482 Mccaysville Industrial Dr, Blue Ridge, GA 30513 | 2010-10-18 |
| 1396924791 | Sue Ann Richardson | Chiropractor | 59 Mckinney, Blue Ridge, GA 30513 | 2007-11-01 |
| 1164554432 | Pruitthealth Home First, Inc. | Case Management | 6050 Appalachian Highway, Suite 4, Blue Ridge, GA 30513 | 2007-03-12 |
| Find all providers in zip 30513 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184834749 | Adventa Hospice, Inc. | Hospice Care, Community Based | 140 Progress Circle, Suite 3, Blue Ridge, GA 30513-4474 | 2007-05-23 |
| 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 |
| 1144832494 | Circle of Hope Hospice | Hospice Care, Community Based | 5750 Brook Hollow Pkwy Ste 105, Norcross, GA 30071-3515 | 2020-08-18 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | BLUE RIDGE |
| Zip Code | 30513 |
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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.