PRUITTHEALTH HOSPICE, INC.


Address: 2944 Breezewood Avenue, Suite 102, Fayetteville, NC 28303-5415
Phone: 9104831793

PRUITTHEALTH HOSPICE, INC. (NPI# 1386036473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386036473
Entity Type Organization
Organization Name PRUITTHEALTH HOSPICE, INC.
Other Organization Name PRUITTHEALTH HOSPICE - FAYETTEVILLE
Practice Address 2944 Breezewood Avenue
Suite 102
Fayetteville
NC 28303-5415
Mailing Address 1626 Jeurgens Ct
Norcross
GA 30093-2219
Practice Telephone 9104831793
Practice Fax Number 9104834315
Mailing Telephone 7702796200
Mailing Fax Number 7709315278
Enumeration Date 2015-02-26
Last Update Date 2015-02-26
Authorized Official Name MR. NEIL L. PRUITT JR. (CHAIRMAN AND CEO)
Authorized Official Telephone 7702796200
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315D00000X Hospice, Inpatient Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
PruittHealth Hospice - Fayetteville Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
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
1154369171 Pruitthealth Hospice, Inc. Hospice Care, Community Based 700 S Enota Dr Ne, Suite 202, Gainesville, GA 30501-2453 2006-06-03

Office Location

Street Address 2944 BREEZEWOOD AVENUE
SUITE 102
City FAYETTEVILLE
State NC
Zip Code 28303-5415

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801404496 Matthew Pace Physician Assistant Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 2020-07-20
1952920449 Vonetta Bethea Jackson Social Worker 391 Wagoner Drive, Fayetteville, NC 28303 2020-04-14
1932746229 Julie Harriss Specialist/Technologist Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 2019-12-05
1235780354 Helen Delores Johnson Technician 261 Pierron Dr, Fayetteville, NC 28303 2019-09-20
1922655075 Andrea Margaret Hutnam Technician 714 Shortridge Rd, Fayetteville, NC 28303 2019-08-23
1225695273 Breona Lister Dental Hygienist 38 17 Gruber Rd, Fort Bragg, NC 28303 2019-05-24
1780148957 Brian K Cox Sr. Occupational Therapy Assistant 5300 Ramsey St, Fayetteville, NC 28303 2019-01-22
1730670902 Michael Sadtler Counselor 804 Stamper Rd Ste 101, Fayetteville, NC 28303 2018-05-23
1104320399 Tia Porterfield Counselor 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 2018-03-21
1154835577 Jessica Bass Bosworth Psychologist 3415 Youngstown Dr, Fayetteville, NC 28303 2017-11-21
Find all providers in zip 28303

Taxonomy Information

Taxonomy Code 315D00000X
Grouping Nursing & Custodial Care Facilities
Classification Hospice, Inpatient

Taxonomy Definition

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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1568704617 Home Heahth Care and Hospice Hospice, Inpatient 107 Handley Park Ct, Goldsboro, NC 27534-1768 2013-03-26
1033153606 Johnston Health Services Corporation Hospice, Inpatient 426 Hospital Rd, Smithfield, NC 27577 2006-06-15
1750329116 Pruitthealth Hospice, Inc. Hospice, Inpatient 810 Kennedy Avenue, New Bern, NC 28560 2006-06-04
1679520555 Karc Enterprises Hospice, Inpatient 121 E 2nd St, Washington, NC 27889-4920 2006-05-27
1417429002 Carepartners Hha, Lllp Hospice, Inpatient 68 Sweeten Creek Rd, Asheville, NC 28803-2318 2018-12-20
1215173331 Southeastern Regional Medical Center Hospice, Inpatient 1100 Pine Run Dr, Lumberton, NC 28358-2118 2008-12-18
1497797088 Rex Hospital Inc. Hospice, Inpatient 4420 Lake Boone Trl, Raleigh, NC 27607-7505 2006-06-11

Competitor

Search similar providers

City FAYETTEVILLE
Zip Code 28303

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Dataset Information

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.

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