MEDICARE: PRUITTHEALTH HOME HEALTH, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1689199481
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRUITTHEALTH HOME HEALTH, INC.

Provider Business Mailing Address
First Line	:	1626 JEURGENS CT
Second Line	:	LEGAL DEPT
City	:	NORCROSS
State	:	GA
Zip	:	30093-2219
Country	:	US
Telephone Number	:	770-279-6200
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 HALTON RD STE A
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29607-3498
Country	:	US
Telephone Number	:	864-962-7226
Fax Number	:	864-288-8243

Authorized Official
Title or Position	:	CHAIRMAN AND CEO
Name	:	MR. NEIL LITTLE PRUITT JR.
Credential	:
Telephone Number	:	770-279-6200

Provider Enumeration Date	:	08/14/2017
Last Update Date	:	10/23/2025

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