PRUITTHEALTH HOSPICE, INC. (NPI# 1902844830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902844830 |
| Entity Type | Organization |
| Organization Name | PRUITTHEALTH HOSPICE, INC. |
| Other Organization Name | PRUITTHEALTH HOSPICE - PEE DEE |
| Practice Address |
609 S Coit St Florence SC 29501-5222 |
| Mailing Address |
1626 Jeurgens Ct Norcross GA 30093-2219 |
| Practice Telephone | 8436628633 |
| Mailing Telephone | 7702796200 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2014-07-24 |
| Authorized Official Name | 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 | 251G00000X | Hospice Care, Community Based | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | HSPO65 | 05 |
| Other Name | Type Code |
|---|---|
| PruittHealth Hospice - Pee Dee | 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 |
| 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 |
| 1154369171 | Pruitthealth Hospice, Inc. | Hospice Care, Community Based | 700 S Enota Dr Ne, Suite 202, Gainesville, GA 30501-2453 | 2006-06-03 |
| Street Address |
609 S COIT ST |
| City | FLORENCE |
| State | SC |
| Zip Code | 29501-5222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396169611 | Pruitthealth Home Health, Inc. | Home Health | 609 S Coit St, Florence, SC 29501-5222 | 2014-02-06 |
| 1629299706 | Jo Ann Price | Registered Nurse | 609 S Coit St, Florence, SC 29501-5222 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700350444 | Angel Edwards Brown | Nurse Practitioner | Mcleod Health, 555 East Cheves Street, Florence, SC 29501 | 2019-01-16 |
| 1497229124 | Fred L. Evans IIi | Physical Therapy Assistant | 2439 Willwood Dr., Florence, SC 29501 | 2019-01-16 |
| 1841715596 | Faith Hope Love Homecare | Home Health | 604 S. Coit Street, Florence, SC 29501 | 2017-08-03 |
| 1083156350 | Karen Artis-bacote | Nurse Practitioner | 3835 Susan Dr, Florence, SC 29501 | 2016-11-17 |
| 1992251581 | Higher Ground Christian Counseling Service, LLC | Counselor | 1801 D West Evans Street, Florence, SC 29501 | 2016-09-01 |
| 1952752818 | Jack Carter Shackelford | Chiropractor | 311 West Palmetto Street, Florence, SC 29501 | 2016-06-22 |
| 1750743506 | Profection Therapy LLC | Clinic/Center | 315d North Beltline Dr., Florence, SC 29501 | 2016-03-22 |
| 1386002467 | Bergelt Optometric LLC | Optometrist | 2672 David Mcleod Blvd, Florence, SC 29501 | 2016-02-04 |
| 1437531993 | Sherika Tarshall Stuckey | Nurse Practitioner | 720 Coventry Lane, Apt C, Florence, SC 29501 | 2015-06-22 |
| 1245610062 | Christopher Tyree | Podiatrist | 709 W Evans St, Florence, SC 29501 | 2015-06-06 |
| Find all providers in zip 29501 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811363302 | Anelime Hospice and Palliative Care | Hospice Care, Community Based | 660 S Pinal Pkwy, Florence, AZ 85132-9726 | 2015-08-19 |
| 1497006431 | Hallmark Hospice of Southern Arizona, LLC | Hospice Care, Community Based | 822 E Saguaro Rd, Florence, AZ 85132 | 2012-10-01 |
| 1679887145 | Addus Healthcare (south Carolina), Inc. | Hospice Care, Community Based | 109 W Laurel St, Florence, SC 29501-5216 | 2010-07-27 |
| 1538342795 | New Beacon Healthcare Group, LLC | Hospice Care, Community Based | 1609 Mockingbird Ct, Unit E, Florence, AL 35630-7510 | 2007-12-11 |
| 1588855399 | Hc Healthcare, LLC | Hospice Care, Community Based | 507 E Dr Hicks Blvd, Florence, AL 35630-5771 | 2007-08-06 |
| 1619083391 | Hospice of Tennessee Valley, Inc. | Hospice Care, Community Based | 200 West Tennessee Street, Florence, AL 35630 | 2006-08-22 |
| 1396767224 | Good Samaritan Hospice Usa Inc | Hospice Care, Community Based | 402 E Dr Hicks Blvd, Florence, AL 35630-5763 | 2006-07-23 |
| 1790724581 | Southerncare, Inc. | Hospice Care, Community Based | 960 Pamplico Hwy, Suite K, Florence, SC 29505-6244 | 2006-06-06 |
| 1750329355 | Hospice of The Shoals, Inc. | Hospice Care, Community Based | 115 Fairground Rd, Florence, AL 35630-1283 | 2006-06-04 |
| 1013955038 | Southerncare, Inc. | Hospice Care, Community Based | 239 Azalea Dr, Florence, AL 35630-1733 | 2006-06-03 |
| Find all providers in FLORENCE | ||||
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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.