Pruitthealth - Augusta Hills

LBN: Pruitthealth - Augusta Hills Llc
Pruitthealth - Augusta Hills is an health care organization with primary practice located at 2122 Cumming Rd , Augusta GA 30904-4334. 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 - Augusta Hills Llc can be contacted via phone (706) 737-8258, or through Pruitt, Neil L via phone (770) 279-6200.

Contact Information

Primary practice address
2122 Cumming Rd Augusta GA 30904-4334
Phone: (706) 737-8258
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 1-121-1651 Georgia

Profile Details

NPI number 1235186974
LBN Legal business name Pruitthealth - Augusta Hills Llc
DBA Doing business as Pruitthealth - Augusta Hills
Authorized official Pruitt, Neil L
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2006
Last updated Jun 27th, 2014 - about 12 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 1235186974 NPPES
Georgia MEDICAID 00245055A

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