Pruitthealth - Decatur

LBN: Pruitthealth - Decatur, Llc
Pruitthealth - Decatur is an health care organization with primary practice located at 3200 Panthersville Road , Decatur GA 30034-3831. 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 - Decatur, Llc can be contacted via phone (404) 212-3400, or through Pruitt, Neil L. via phone (770) 279-6200.

Contact Information

Primary practice address
3200 Panthersville Road Decatur GA 30034-3831
Phone: (404) 212-3400
Fax:
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 Georgia

Profile Details

NPI number 1134458920
LBN Legal business name Pruitthealth - Decatur, Llc
DBA Doing business as Pruitthealth - Decatur
Authorized official Pruitt, Neil L.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2009
Last updated Jun 30th, 2014 - about 10 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 1134458920 NPPES
Georgia MEDICAID 00252942A

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