PRUITTHEALTH - WEST ATLANTA, LLC (NPI# 1881641306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881641306 |
| Entity Type | Organization |
| Organization Name | PRUITTHEALTH - WEST ATLANTA, LLC |
| Other Organization Name | PRUITTHEALTH - WEST ATLANTA |
| Practice Address |
2645 Whiting St Nw Atlanta GA 30318-4563 |
| Mailing Address |
1626 Jeurgens Ct Norcross GA 30093-2219 |
| Practice Telephone | 4047999267 |
| Mailing Telephone | 7702796200 |
| Enumeration Date | 2006-05-29 |
| Last Update Date | 2014-07-02 |
| Authorized Official Name | 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 | 1-060-1647 | GA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00256088A | 05 |
| Other Name | Type Code |
|---|---|
| PruittHealth - West Atlanta | Doing Business As Name - Organization |
| Street Address |
2645 WHITING ST NW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30318-4563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225683626 | Christiana Aruck Ojongnfong | Nurse Practitioner | 2645 Whiting St Nw, Atlanta, GA 30318-4563 | 2019-08-03 |
| 1558678979 | United Rehab Inc | Clinic/Center | 2645 Whiting St Nw, Atlanta, GA 30318-4563 | 2010-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970408 | Laura N Gillespie | Physician Assistant | 1800 Howell Mill Rd., Suite 450, Atlanta, GA 30318 | 2020-10-22 |
| 1639793664 | 100 Percent Chiropractic Sberger LLC | Chiropractor | 2250 Marietta Blvd, Suite 303, Atlanta, GA 30318 | 2020-06-05 |
| 1326518945 | Sharon Emancia Joseph | Nurse Practitioner | 1517 Whitehead Bluff Nw, Atlanta, GA 30318 | 2018-11-27 |
| 1124597646 | Cindy Denise Oden | Registered Nurse | 1903 Drew Dr Nw, Apt 2200, Atlanta, GA 30318 | 2018-11-14 |
| 1558838052 | Amanda Renee Wilson | Social Worker | 2118 Adams Overlook Nw, Atlanta, GA 30318 | 2018-11-01 |
| 1386135010 | Missions Possible of Atlanta Day Program LLC. | Counselor | 805 Ayrshire Cir Nw, Atlanta, GA 30318 | 2018-05-29 |
| 1295254639 | Danielle Olivia Jones | Counselor | 1391 Collier Road Nw, Apt 1304, Atlanta, GA 30318 | 2017-09-18 |
| 1104372317 | Kera Baker | Massage Therapist | 1397 B Carroll Drive Nw, Atlanta, GA 30318 | 2016-08-28 |
| 1588015648 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 1000 Techwood Dr Nw, Atlanta, GA 30318 | 2016-06-29 |
| 1104286707 | B Webb, Inc | Specialist | 1675 Lower Roswell Rd, Marietta, GA 30318 | 2016-02-25 |
| Find all providers in zip 30318 | ||||
| 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 |
|---|---|---|---|---|
| 1639619307 | Medicinal Plus | Skilled Nursing Facility | 2443 Center Pointe Cir Sw, Atlanta, GA 30315-7309 | 2017-02-28 |
| 1164972188 | Marie Rosemonde Nozil-bernadel | Skilled Nursing Facility | 3715 Northside Pkwy Nw Bldg 200, Atlanta, GA 30327-2882 | 2016-10-13 |
| 1730639022 | Dunwoody Operating Company LLC | Skilled Nursing Facility | 5470 Meridian Marks Rd Bldg E, Atlanta, GA 30342-1624 | 2016-10-11 |
| 1447668538 | Winnie-stowell Hospital District | Skilled Nursing Facility | 1104 S. William Street, Atlanta, TX 75551 | 2014-08-01 |
| 1073927018 | Winnie-stowell Hospital District | Skilled Nursing Facility | 200 Live Oak Dr, Atlanta, TX 75551-2802 | 2014-06-18 |
| 1669723987 | Tender Touch Private Home Care, LLC | Skilled Nursing Facility | 215 Hilltop Dr Sw, Atlanta, GA 30315-6019 | 2012-09-26 |
| 1811269533 | Rose Haven Healthcare LLC | Skilled Nursing Facility | 200 Live Oak St, Atlanta, TX 75551-2802 | 2012-01-27 |
| 1144509613 | Lenbrook Square Foundation, Inc. | Skilled Nursing Facility | 3747 Peachtree Rd Ne, Atlanta, GA 30319-1360 | 2011-08-15 |
| 1508160045 | Integrity Personal Care Home | Skilled Nursing Facility | 4192 Kenwood Trl, Atlanta, GA 30349-1979 | 2010-12-25 |
| 1942502364 | Partnership for Health Health Care | Skilled Nursing Facility | 905 James Jackson Pkwy Nw Ste 6, Atlanta, GA 30318-9501 | 2010-11-18 |
| Find all providers in ATLANTA | ||||
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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.