PRUITTHEALTH - LANIER, LLC (NPI# 1043549835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043549835 |
Entity Type | Organization |
Organization Name | PRUITTHEALTH - LANIER, LLC |
Other Organization Name | PRUITTHEALTH - LANIER |
Practice Address |
2451 Peachtree Industrial Blvd Buford GA 30518-2418 |
Mailing Address |
1626 Jeurgens Ct Norcross GA 30093-2219 |
Practice Telephone | 7706142800 |
Mailing Telephone | 7702796200 |
Mailing Fax Number | 7068860542 |
Enumeration Date | 2009-12-08 |
Last Update Date | 2014-07-24 |
Authorized Official Name | MR. NEIL L. PRUITT JR. (CHAIRMAN & CEO OF MGR) |
Authorized Official Telephone | 7702796200 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | GA | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 00140456A | 05 |
Other Name | Type Code |
---|---|
PruittHealth - Lanier | Doing Business As Name - Organization |
Street Address |
2451 PEACHTREE INDUSTRIAL BLVD |
City | BUFORD |
State | GA |
Zip Code | 30518-2418 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215112255 | Laurel Baye Healthcare of Lake Lanier, LLC | Skilled Nursing Facility | 2451 Peachtree Industrial Blvd, Buford, GA 30518-2418 | 2008-01-09 |
1760799365 | United Rehab Inc | Clinic/Center | 2451 Peachtree Industrial Blvd, Buford, GA 30518-2418 | 2010-09-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942809090 | Lori G Fiore | Pharmacist | 6001 Highway 20, Sugar Hill, GA 30518 | 2020-10-20 |
1295374684 | Wickshire Buford Opco LLC | Assisted Living Facility | 4355 South Lee Street, Buford, GA 30518 | 2020-01-02 |
1689221749 | Family First Palliative Care LLC | Internal Medicine | 2299 Saint Kennedy Lane, Buford, GA 30518 | 2019-08-23 |
1013471010 | Kennison Pharmacy, LLC | Pharmacy | 4050 Buford Drive, Buford, GA 30518 | 2019-01-24 |
1972073534 | Heather Leigh Wilson | Technician, Pathology | 4271 South Lee Street Suite 101 & 102, Buford, GA 30518 | 2018-11-27 |
1629581228 | Taylor Family Counseling | Social Worker | 1400 Buford Hwy Ste G7, Sugar Hill, GA 30518 | 2017-11-06 |
1417476292 | North Georgia Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | 860 Creekview Bluff Way, Buford, GA 30518 | 2017-09-13 |
1639693278 | Tara Banks Feddern | Occupational Therapist | 4319 South Lee Street Suite 300, Chandler Speech and Language Services, LLC, Buford, GA 30518 | 2017-07-26 |
1114457223 | Jeremy Likens | Specialist/Technologist, Other | 5885 Cumming Hwy Ste 108, #259, Sugar Hill, GA 30518 | 2017-06-13 |
1609224336 | Healthqwest Frontiers Inc | Clinic/Center | 4271 South Lee St., Suite 101 & 102, Buford, GA 30518 | 2016-06-03 |
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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 |
---|---|---|---|---|
1215112255 | Laurel Baye Healthcare of Lake Lanier, LLC | Skilled Nursing Facility | 2451 Peachtree Industrial Blvd, Buford, GA 30518-2418 | 2008-01-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689281982 | Georgia Regional Health Services LLC | Skilled Nursing Facility | 3731 Lake Pass Ln, Suwanee, GA 30024-8422 | 2020-09-30 |
1124633268 | Lavender Mountain Senior Living Inc | Skilled Nursing Facility | 600 Eagle Lake Trl, Rome, GA 30165-2207 | 2020-09-15 |
1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
1205486859 | Magnolia Manor of Liberty County, Inc. | Skilled Nursing Facility | 625 N Coastal Hwy # 17, Midway, GA 31320-3433 | 2019-09-16 |
1497301170 | Prestige Health Services LLC | Skilled Nursing Facility | 1770 Indian Trail Lilburn Rd Ste 420, Norcross, GA 30093-2644 | 2019-08-17 |
1043878721 | Keysville Ltc Management LLC | Skilled Nursing Facility | 1005 Ga Highway 88, Blythe, GA 30805-3911 | 2019-05-29 |
1689131724 | Favor Home Health Care Services, LLC | Skilled Nursing Facility | 51 Gallery Ct, Acworth, GA 30101-2709 | 2019-02-25 |
1104398866 | University Extended Care, Inc | Skilled Nursing Facility | 1005 Highway 88 N, Keysville, GA 30816 | 2018-12-19 |
1548745342 | Gacalhoun Snf LLC | Skilled Nursing Facility | 1387 Highway 41 N., Calhoun, GA 30701 | 2018-09-27 |
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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.