PRUITTHEALTH - FAIRBURN – NPI #1518914035
Skilled Nursing Facility

(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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

PRUITTHEALTH - FAIRBURN is a skilled nursing facility (SNF) located in FAIRBURN, GA. NPPES has assigned the NPI number 1518914035 to PRUITTHEALTH - FAIRBURN on May 29, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PRUITTHEALTH - FAIRBURN” is a dba name, the actual legal business name for this organization is PRUITTHEALTH - FAIRBURN, LLC. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was previously updated about 12 years ago on May 27, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRUITTHEALTH - FAIRBURN below.

NPI Profile for
PRUITTHEALTH - FAIRBURN, LLC

NPI Number
1518914035
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRUITTHEALTH - FAIRBURN, LLC
Doing Business As (dba): PRUITTHEALTH - FAIRBURN
Primary location
7560 BUTNER ROAD
FAIRBURN, GA 30213
Phone: (770) 306-7878 Fax: (770) 306-7779
Mailing address
1626 JEURGENS CT
NORCROSS, GA 30093-2219
Phone: (770) 279-6200 Fax: (770) 931-5278
Organization Subpart
No
Authorized Official
NEIL PRUITT
CHAIRMAN AND CEO OF MANAGER
Phone: (770) 279-6200
Updated
Identifiers

Identifiers for PRUITTHEALTH - FAIRBURN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDGA00142997A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)
GA 10601817

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.