PRUITTHEALTH HOSPICE, INC. (NPI# 1790723435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790723435 |
| Entity Type | Organization |
| Organization Name | PRUITTHEALTH HOSPICE, INC. |
| Other Organization Name | PRUITTHEALTH HOSPICE - COLUMBIA |
| Practice Address |
903 Elmwood Ave Ste A Columbia SC 29201 |
| Mailing Address |
1626 Jeurgens Ct Norcross GA 30093-2219 |
| Practice Telephone | 8037710489 |
| Mailing Telephone | 7702796200 |
| Mailing Fax Number | 7068272048 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2018-06-21 |
| 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 | 315D00000X | Hospice, Inpatient | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | HSP073 | 05 |
| Other Name | Type Code |
|---|---|
| PruittHealth Hospice - Columbia | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 118 York St, Chester, SC 297061484 | 8033852002 |
| 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 |
903 ELMWOOD AVE STE A |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049421 | Souzan Moslehshirazi | Behavior Technician | 1320 Main Street Suite 300, Colombia, SC 29201 | 2020-10-02 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1548887128 | Casania's Caring Hands,llc | Home Health Aide | 1113 Belleview Street, 105, Columbia, SC 29201 | 2020-06-30 |
| 1639719909 | Benjamin Clark Watson | Acupuncturist | 1825 Sumter St., Columbia, SC 29201 | 2020-01-14 |
| 1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
| 1447803531 | Gillian Taylor Shaughnessy | Specialist/Technologist | 147 South Marion St, Columbia, SC 29201 | 2019-07-18 |
| 1417417619 | Maria Nelson | Behavior Technician | 320 Main St Suite 300, Columbia, SC 29201 | 2019-03-22 |
| 1679041297 | Nathaniel Carl Stocker | Nurse Practitioner | 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 | 2018-11-13 |
| 1558852855 | The Practice | Family Medicine | 1910 Gregg Street, Columbia, SC 29201 | 2018-05-22 |
| 1871095836 | Kadesjah Samuels | Behavior Technician | 1320 Main Street, Suite 300, Columbia, SC 29201 | 2018-03-06 |
| Find all providers in zip 29201 | ||||
| Taxonomy Code | 315D00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Hospice, Inpatient |
| A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient. |
| Notes: Source: AHA Guide, American Hospital Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154757474 | Hadora Hospice of The Carolinas | Hospice, Inpatient | 810 Dutch Square Blvd Ste 390c, Columbia, SC 29210-7327 | 2013-09-18 |
| 1548215635 | In Home Health LLC | Hospice, Inpatient | 141 Stoneridge Dr, Columbia, SC 29210-8240 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790266104 | Caresouth Hha Holdings of Washington, LLC | Hospice, Inpatient | 175 Village Center Blvd, Myrtle Beach, SC 29579-6619 | 2018-08-23 |
| 1841622347 | Florence Health Care Home Health | Hospice, Inpatient | 608 S. Mcqueen St Suite C, Florence, SC 29504-2021 | 2013-08-07 |
| 1760723332 | Ahava Hospice of Florence, LLC | Hospice, Inpatient | 2405 2nd Loop Rd, Suite C, Florence, SC 29501-1602 | 2013-03-07 |
| 1780849026 | Wiregrass Hospice of South Carolina, LLC | Hospice, Inpatient | 4975 Lacross Rd Ste 200a, North Charleston, SC 29406-6531 | 2008-07-25 |
| 1376717108 | Embrace Hospice of South Carolina, LLC | Hospice, Inpatient | 696 Medical Park Dr Ste B, Hartsville, SC 29550-4782 | 2008-04-14 |
| 1861540106 | Spartanburg Medical Center | Hospice, Inpatient | 686 Jeff Davis Dr, Spartanburg, SC 29303 | 2007-01-05 |
| 1306363643 | Still Water Hospice, LLC | Hospice, Inpatient | 531 S Main St, Greenville, SC 29601-2500 | 2017-08-28 |
| 1134675242 | Prisma Health-upstate | Hospice, Inpatient | 390 Keowee School Rd, Seneca, SC 29672-6743 | 2016-08-29 |
| 1891104311 | Greenville Health System | Hospice, Inpatient | 390 Keowee School Rd, Seneca, SC 29672-6743 | 2014-08-08 |
| 1669751616 | Pathway Hospice, LLC | Hospice, Inpatient | 661 Rutherford Rd, Suite 101, Greenville, SC 29609-4640 | 2011-08-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PRUITTHEALTH HOSPICE, 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.