Pruitthealth - Athens Heritage

LBN: Pruitthealth - Athens Heritage Llc
Pruitthealth - Athens Heritage is an health care organization with primary practice located at 960 Hawthorne Ave , Athens GA 30606-2140. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Pruitthealth - Athens Heritage Llc can be contacted via phone (706) 549-1613, or through Pruitt, Neil L via phone (770) 279-6200.

Contact Information

Primary practice address
960 Hawthorne Ave Athens GA 30606-2140
Phone: (706) 549-1613
Fax: (706) 549-1639
Website:
Map and Directions
Authorized official contact:
Name: Pruitt, Neil L
Phone: (770) 279-6200

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1-029-953 Georgia

Profile Details

NPI number 1316993769
LBN Legal business name Pruitthealth - Athens Heritage Llc
DBA Doing business as Pruitthealth - Athens Heritage
Authorized official Pruitt, Neil L
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2006
Last updated Jul 25th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316993769 NPPES
Georgia MEDICAID 00141391A

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