Pruitthealth - Grandview, Llc in Norcross - Skilled Nursing Facility
Pruitthealth - Grandview, Llc - NPI 1417904939
Pruitthealth - Grandview, Llc is a Skilled Nursing Facility in Norcross, Georgia. Pruitthealth - Grandview, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Pruitthealth - Grandview, Llc is 1417904939. The last update date is 2014-07-02.
Pruitthealth - Grandview, Llc's current location address is 1626 Jeurgens Ct, Norcross, Georgia. You can contact this provider via phone number 7702796200 and fax number 7709315278. The mailing address for Pruitthealth - Grandview, Llc is 1626 Jeurgens Ct, Norcross, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pruitthealth - Grandview, Llc |
|---|---|
| Address | 1626 Jeurgens Ct, Norcross, Georgia |
| Phone Number | 7702796200 |
| Fax Number | 7709315278 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHAIRMAN A |
|---|---|
| Authorized Official Name | Pruitt L Neil |
| Telephone Number | 7702796200 |
NPI Number Detail
| NPI Number | 1417904939 |
|---|---|
| Provider Enumeration Date | 2006-05-29 |
| Last Updated Date | 2014-07-02 |
Provider Mailing Address Detail
| Address | 1626 Jeurgens Ct |
|---|---|
| City | Norcross |
| State | Georgia (GA) |
| Post Code | 300932219 |
| Phone Number | 7702796200 |
| Fax Number | 7709315278 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 1-029-1649 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00141215A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Pruitthealth - Grandview, Llc by the Centers for Medicare & Medicaid Services?
The Pruitthealth - Grandview, Llc has been issued the NPI (National Provider Identifier) 1417904939, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Pruitthealth - Grandview, Llc?
The Pruitthealth - Grandview, Llc is physically situated at 1626 Jeurgens Ct, in the city of Norcross, state of GA, with the postal code 300932219.
What is Pruitthealth - Grandview, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Pruitthealth - Grandview, Llc's specialized field of practice is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of specialization is 314000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1417904939 to Pruitthealth - Grandview, Llc?
The Pruitthealth - Grandview, Llc received its 1417904939 assignment from the Centers for Medicare & Medicaid Services on 2006-05-29.
When was the Pruitthealth - Grandview, Llc's information last updated?
The Pruitthealth - Grandview, Llc's information was last updated on 2014-07-02.