PRUITTHEALTH - JASPER, LLC (NPI# 1770530297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770530297 |
| Entity Type | Organization |
| Organization Name | PRUITTHEALTH - JASPER, LLC |
| Other Organization Name | PRUITTHEALTH - JASPER |
| Practice Address |
1350 E Church St Jasper GA 30143-1910 |
| Mailing Address |
1626 Jeurgens Ct Norcross GA 30093-2219 |
| Practice Telephone | 7062532441 |
| Practice Fax Number | 7062532453 |
| Mailing Telephone | 7702796200 |
| Mailing Fax Number | 7709315278 |
| Enumeration Date | 2006-05-29 |
| Last Update Date | 2014-07-02 |
| Authorized Official Name | MR. 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 | 1-112-1663 | GA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00142436A | 05 |
| Other Name | Type Code |
|---|---|
| PruittHealth - Jasper | Doing Business As Name - Organization |
| Street Address |
1350 E CHURCH ST |
| City | JASPER |
| State | GA |
| Zip Code | 30143-1910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033426630 | United Rehab Inc | Clinic/Center | 1350 E Church St, Jasper, GA 30143-1910 | 2010-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111845 | George Mackel, Pmhnp-bc, LLC | Nurse Practitioner | 12034 Big Canoe, 400 Shetland Trace, Jasper, GA 30143 | 2020-10-14 |
| 1598363434 | Amanda J Griggs | Massage Therapist | 54 Wolfscratch Village, Jasper, GA 30143 | 2020-10-13 |
| 1801397724 | Jema Day | Nurse Practitioner | 620 J L White Dr Ste 140, Jasper, GA 30143 | 2018-02-26 |
| 1023467545 | North Georgia Personal Care LLC | Home Health | 501 North Main St., Suite B, Jasper, GA 30143 | 2016-06-06 |
| 1871979641 | Sj & J Spine and Pain Group Holding LLC | Pain Medicine | 91 Sammy Mcghee Blvd, Suite 101, Jasper, GA 30143 | 2015-08-04 |
| 1801294293 | Highland Recovery Center | Community/Behavioral Health | 323 Roland Road, Jasper, GA 30143 | 2014-12-17 |
| 1770905861 | Leslie Rhea Hanagan | Speech-Language Pathologist | 22 Dogwood Lane, Jaser, GA 30143 | 2014-01-09 |
| 1669800660 | Pickens County Chiropractic | Chiropractor | 95 North Main Street, Jasper, GA 30143 | 2013-10-29 |
| 1407139264 | Rocky Mountain Holdings LLC | Ambulance | 70 Airport Business Court, Jasper, GA 30143 | 2011-09-27 |
| 1851681415 | Richard J Vandam | Internal Medicine | 1266 Highway 515, Piedmont Mountainside Hospital, Jasper, GA 30143 | 2011-04-15 |
| Find all providers in zip 30143 | ||||
| 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 |
|---|---|---|---|---|
| 1023440153 | Ridgewood Health Services, Inc. | Skilled Nursing Facility | 201 Oakhill Rd, Jasper, AL 35504-7496 | 2013-07-31 |
| 1962710079 | Sweet Neches Properties, Ltd. | Skilled Nursing Facility | 144 Bulldog Ave, Jasper, TX 75951-4949 | 2010-09-23 |
| 1235205816 | Adams County Memorial Hospital | Skilled Nursing Facility | 520 W 9th Street, Jasper, IN 47546-2711 | 2006-11-27 |
| 1134206030 | Good Samaritan Hospital | Skilled Nursing Facility | 3150 Saint Charles St, Jasper, IN 47546-1858 | 2006-11-01 |
| 1720002819 | Hamilton Health Enterprises, Inc. | Skilled Nursing Facility | 427 Nw 15th Ave, Jasper, FL 32052-5874 | 2006-07-26 |
| 1962435149 | Salem Housing Corporation | Skilled Nursing Facility | 315 W Gibson St, Jasper, TX 75951-4903 | 2006-07-09 |
| 1487620498 | Grandview Health Care Center, Inc | Skilled Nursing Facility | 618 Gennett Dr, Jasper, GA 30143-1143 | 2006-02-28 |
| 1265419428 | Brookside Village, Inc | Skilled Nursing Facility | 1111 Church Ave, Jasper, IN 47546-3761 | 2005-12-29 |
| 1699764357 | Heritage House Health and Rehab Center | Skilled Nursing Facility | 2909 Howard Dr, Jasper, IN 47546-1113 | 2005-10-17 |
| 1073500831 | Shadescrest Health Care Center | Skilled Nursing Facility | 331 25th St W, Jasper, AL 35501-5828 | 2005-10-05 |
| Find all providers in JASPER | ||||
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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.