PRUITTHEALTH - TOWN CENTER, LLC (NPI# 1700833233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700833233 |
Entity Type | Organization |
Organization Name | PRUITTHEALTH - TOWN CENTER, LLC |
Other Organization Name | PRUITTHEALTH - TOWN CENTER |
Practice Address |
6300 Roberta Rd Harrisburg NC 28075-9416 |
Mailing Address |
1626 Jeurgens Ct Norcross GA 30093-2219 |
Practice Telephone | 7044555553 |
Mailing Telephone | 6785336485 |
Mailing Fax Number | 7709315278 |
Enumeration Date | 2006-05-29 |
Last Update Date | 2014-07-02 |
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 | NH0604 | NC | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 3405515 | 05 | |
NC | 340613V | 05 |
Other Name | Type Code |
---|---|
PruittHealth - Town Center | Doing Business As Name - Organization |
Street Address |
6300 ROBERTA RD |
City | HARRISBURG |
State | NC |
Zip Code | 28075-9416 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962904581 | Taylor Ann Holeman | Nurse Practitioner | 6300 Roberta Rd, Harrisburg, NC 28075-9416 | 2018-02-28 |
1316254808 | United Rehab Inc | Clinic/Center | 6300 Roberta Rd, Harrisburg, NC 28075-9416 | 2010-09-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316576283 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 3800 Highway 49 South, Harrisburg, NC 28075 | 2020-04-03 |
1043726250 | Megan M. Raynor, Dmd, Pllc | Clinic/Center | 5500 Highway 49 South, Suite 100, Harrisburg, NC 28075 | 2017-12-26 |
1760994008 | Publix North Carolina Lp | Durable Medical Equipment & Medical Supplies | 4055 Harris Square Dr, Harrisburg, NC 28075 | 2017-10-26 |
1578085783 | Trey Wyate Miller | Dentist | 4291 School House Commons, Harrisburg, NC 28075 | 2017-07-10 |
1700320850 | R. Barrows & Associates II PC | Dentist | 7230 Caldwell Road, Harrisburg, NC 28075 | 2016-12-08 |
1699125393 | Megan Morse Raynor | Dentist | 5500 Hwy 49 South, Suite 100, Harrisburg, NC 28075 | 2016-06-14 |
1740642289 | Bradley William Lind | Podiatrist | 3800 Hwy 49 South, Harrisburg, NC 28075 | 2016-03-23 |
1578870630 | David A Hysell | Physical Therapist | 8555 Magnolia Springs Dr, Harrisburg, NC 28075 | 2010-09-09 |
1124248331 | Harrisburg Pharmacy Services Inc | Pharmacy | 4310 Physicians Blvd, Harrisburg, NC 28075 | 2007-04-27 |
1194845578 | Andrea Jean Dobrich | Chiropractor | 116 Candystick Circle, Harrisburg, NC 28075 | 2007-03-30 |
Find all providers in zip 28075 |
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 |
---|---|---|---|---|
1922626290 | Brsi, Lp | Skilled Nursing Facility | 303 Walnut St Fl 7, Harrisburg, PA 17101-1825 | 2020-07-13 |
1093067910 | Genesis Healthcare Corporation | Skilled Nursing Facility | 1801 N 5th Street, Harrisburg, PA 17102-1510 | 2012-10-03 |
1225270283 | Petersen Health Care Vii, LLC | Skilled Nursing Facility | 1000 W Sloan St, Harrisburg, IL 62946-2234 | 2009-04-06 |
1609068444 | Linda Johnson Krouse | Skilled Nursing Facility | 773 Piketown Rd, Harrisburg, MA 17112 | 2007-08-15 |
1437212081 | Harris Frank LLC | Skilled Nursing Facility | Harrisburg Care Center, 1000 West Sloan St, Harrisburg, IL 62946 | 2006-12-18 |
1538119573 | Ggnsc Harrisburg Lp | Skilled Nursing Facility | 3625 N Progress Ave, Harrisburg, PA 17110-9690 | 2006-05-11 |
1023005766 | Villa Teresa | Skilled Nursing Facility | 1051 Avila Rd, Harrisburg, PA 17109-5304 | 2005-09-27 |
1225036478 | Colonial Park Care Center, LLC | Skilled Nursing Facility | 800 King Russ Rd, Harrisburg, PA 17109-5101 | 2005-07-12 |
1396284188 | Saline Care Nursing & Rehabilitation Center, LLC | Skilled Nursing Facility | 120 S Land St, Harrisburg, IL 62946-1849 | 2017-02-14 |
1043752637 | The Meadows At Harrisburg for Nursing and Rehabilitation LLC | Skilled Nursing Facility | 3625 N Progress Ave, Harrisburg, PA 17110-9690 | 2016-11-14 |
Find all providers in HARRISBURG |
City | HARRISBURG |
Zip Code | 28075 |
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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.