PRUITTHEALTH HOME HEALTH, INC. (NPI# 1760420749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760420749 |
| Entity Type | Organization |
| Organization Name | PRUITTHEALTH HOME HEALTH, INC. |
| Other Organization Name | PRUITTHEALTH @ HOME - ATLANTA |
| Practice Address |
1626 Jeurgens Ct Norcross GA 30093-2219 |
| Practice Telephone | 4042979924 |
| Practice Fax Number | 4042966257 |
| Mailing Telephone | 7702796200 |
| Mailing Fax Number | 7709315278 |
| Enumeration Date | 2006-06-03 |
| 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 - Atlanta | Doing Business As Name - Organization |
| PruittHealth Home Health - Atlanta | 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 |
1626 JEURGENS CT |
| City | NORCROSS |
| State | GA |
| Zip Code | 30093-2219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316985336 | Pruitthealth Hospice, Inc. | Hospice Care, Community Based | 1626 Jeurgens Ct, Norcross, GA 30093-2219 | 2006-06-02 |
| 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 |
| 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 | 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 |
|---|---|---|---|---|
| 1235787151 | Crystal Davy | Home Health | 4043 Northridge Way Apt 7, Norcross, GA 30093-3243 | 2019-09-04 |
| 1700434081 | Duluth Healthcare Systems LLC | Home Health | 1254 Beaver Ruin Rd Ste 302, Norcross, GA 30093-3224 | 2019-08-29 |
| 1336653682 | Shelice Delcenia Johnson | Home Health | 3236 Sunrise Village Ln Apt B, Norcross, GA 30093-5478 | 2017-11-23 |
| 1942727094 | Simpli Serenity Home Care Services, LLC | Home Health | 4777 Greenway Rd, Norcross, GA 30071-3832 | 2017-08-29 |
| 1255868949 | Golden Age Home Care LLC | Home Health | 4845 Jimmy Carter Blvd, Norcross, GA 30093-3641 | 2017-05-12 |
| 1104377423 | Viet Home Care LLC | Home Health | 6040 Dawson Blvd Ste H, Norcross, GA 30093-1258 | 2016-10-21 |
| 1861887499 | Bestway Homecare and Family Solutions, LLC | Home Health | 5627 Singleton Rd, Norcross, GA 30093-2208 | 2015-03-31 |
| 1760720783 | Horizon Healthcare Services | Home Health | 1440 Elm Creek Ln, Norcross, GA 30093-2706 | 2013-01-25 |
| 1447509195 | Atlanta Caregivers and Associates LLC | Home Health | 1254 Beaver Ruin Rd Ste 305, Norcross, GA 30093-3005 | 2012-09-07 |
| 1447558010 | Mofazzal Suraiya LLC | Home Health | 1015 Omaha Dr, Norcross, GA 30093-4967 | 2011-03-07 |
| Find all providers in NORCROSS | ||||
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.