Pruitthealth - West Atlanta
LBN: Pruitthealth - West Atlanta, Llc
Pruitthealth - West Atlanta is an health care organization with primary practice located at 2645 Whiting St Nw , Atlanta GA 30318-4563. 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 - West Atlanta, Llc can be contacted via phone (404) 799-9267, or through Pruitt, Neil L. via phone (770) 279-6200.
Contact Information
Primary practice address
2645 Whiting St Nw
Atlanta GA 30318-4563
Phone: (404) 799-9267
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 1-060-1647 | Georgia |
Profile Details
| NPI number | 1881641306 |
|---|---|
| LBN Legal business name | Pruitthealth - West Atlanta, Llc |
| DBA Doing business as | Pruitthealth - West Atlanta |
| Authorized official | Pruitt, Neil L. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 29th, 2006 |
| Last updated | Jul 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881641306 | NPPES |
| Georgia | MEDICAID | 00256088A |
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