National Provider Identifier Database

PRUITTHEALTH HOME HEALTH SOUTH ATLANTA INC
Home Health

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.


Contact Information

PRUITTHEALTH HOME HEALTH - SOUTH ATLANTA, INC.
708 EAST 16TH AVENUE
CORDELE, GA31015
Phone: 770-279-6200
Fax:
Website:
Specialty Taxonomy Code
* Home Health 251E00000X

* Indicates primary specialty

NPI Profile & details for PRUITTHEALTH HOME HEALTH - SOUTH ATLANTA, INC.

NPI Number 1952980237
Legal business name
LBN
PRUITTHEALTH HOME HEALTH - SOUTH ATLANTA, INC.
Authorized official NICOLE CLEMENTS - (SENIOR CORPORATE PARALEGAL)
Entity Organization
Organization subpart Yes
Enumeration date 04/05/2021
Last updated 10/23/2025 - About 7 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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