PRUITTHEALTH HOSPICE, INC. (NPI# 1750329116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750329116 |
| Entity Type | Organization |
| Organization Name | PRUITTHEALTH HOSPICE, INC. |
| Other Organization Name | PRUITTHEALTH HOSPICE - NEW BERN |
| Practice Address |
810 Kennedy Avenue New Bern NC 28560 |
| Mailing Address |
1626 Jeurgens Ct Norcross GA 30093-2219 |
| Practice Telephone | 2526334311 |
| Practice Fax Number | 2526333009 |
| Mailing Telephone | 7702796200 |
| Mailing Fax Number | 7709315278 |
| Enumeration Date | 2006-06-04 |
| 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 | Y |
| Parent Organization Name | UNITED HOSPICE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 315D00000X | Hospice, Inpatient | HOS 3347 | NC | Nursing & Custodial Care Facilities |
| Y | 315D00000X | Hospice, Inpatient | HOS3347 | NC | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| PruittHealth Hospice - New Bern | Doing Business As Name - Organization |
| 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 |
| 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 |
| Street Address |
810 KENNEDY AVENUE |
| City | NEW BERN |
| State | NC |
| Zip Code | 28560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898152 | Alec James Fields | Student in an Organized Health Care Education/Training Program | Cb 7121, 2086 Bondurant Hall, Chapel Hill, NC 28560 | 2020-10-09 |
| 1285270413 | Kelsey Miller | Social Worker | 2000 Doctor M.l.k. Jr Blvd, New Bern, NC 28560 | 2019-11-22 |
| 1568942399 | Siddharth Mourya | Physical Therapist | River Point Crest Nursing and Rehabilitation, 2600 Old Cherry Point Road, New Bern, NC 28560 | 2018-08-21 |
| 1194216713 | Genoa Healthcare, LLC | Pharmacy | 1309 Tatum Dr Ste 1, New Bern, NC 28560 | 2018-05-21 |
| 1134634561 | Eastern Carolina Young Men's Christian Association, Inc. | Health Educator | 100 Ymca Lane, New Bern, NC 28560 | 2017-12-07 |
| 1740725134 | Victoria Anne Sarbin | Audiologist | 2111 Neuse Blvd. Suite 1, New Bern, NC 28560 | 2016-12-21 |
| 1194193722 | Kriebel and Associates Pa | Clinic/Center | 3680 Neuse Blvd., New Bern, NC 28560 | 2015-09-14 |
| 1013308105 | Elizabeth Benton | Specialist | 3303 Highway 70 East, New Bern, NC 28560 | 2015-02-10 |
| 1386999068 | Allison Lang Snyder | Pharmacist | 1904 M L King Jr. Blvd., New Bern, NC 28560 | 2012-07-18 |
| 1144542606 | The Zannis Center for Plastic Surgery Pa | Clinic/Center | 2021 Neuse Blvd, New Bern, NC 28560 | 2010-02-24 |
| Find all providers in zip 28560 | ||||
| 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 |
|---|---|---|---|---|
| 1386036473 | Pruitthealth Hospice, Inc. | Hospice, Inpatient | 2944 Breezewood Avenue, Suite 102, Fayetteville, NC 28303-5415 | 2015-02-26 |
| 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 |
| 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 |
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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.