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PRUITTPLACE - CLEARWATER, LLC
NPI 1073492997
Assisted Living Facility in Clearwater, FL

Active since August 27, 2025CLIA Certified · 2 labs
2155 MONTCLAIR RD, CLEARWATER, FL 33763(727) 855-6191 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pruittplace - Clearwater, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRUITTPLACE - CLEARWATER, LLC (NPI 1073492997) is a healthcare organization registered as an assisted living facility in Clearwater, Florida and active in the NPI registry since August 2025. The organization holds 2 active CLIA laboratory certificates and lists Neil L Pruitt, Chairman And Ceo, as its authorized official.

NPPES Registry Identity

NPI1073492997
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePRUITTPLACE - CLEARWATER, LLC
Location Address2155 MONTCLAIR RDClearwater, FL 33763-4287
Mailing Address1626 Jeurgens CtNorcross, GA 30093-2219 · (770) 279-6200
Phone(727) 855-6191
Organization SubpartNo
Authorized OfficialNeil L PruittChairman And Ceo · (770) 279-6200
Enumeration DateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
✔ NPI 1073492997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
2155 MONTCLAIR RD, Clearwater, FL 33763
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CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2338248

Pruittplace-Clearwater, LLC · Clearwater, FL
Active · expires Feb 6, 2028
CLIA Number10D2338248
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 7, 2026
Certificate Expiration DateFebruary 6, 2028
Laboratory DirectorAmy Y. Nguyen
Laboratory Phone(727) 855-6191
Laboratory LocationPruittplace-Clearwater, LLC2155 Montclair Rd, Clearwater, FL 33763
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2321173

Pruittplace - Wesleyan - LLC · Macon, GA
Active · expires Mar 30, 2027
CLIA Number11D2321173
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 31, 2025
Certificate Expiration DateMarch 30, 2027
Laboratory DirectorJodi Battle
Laboratory Phone(770) 279-6200
Laboratory LocationPruittplace - Wesleyan - LLC250 Water Tower Court, Macon, GA 31210
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE SBATELLA
Speech-Language Pathologist
2155 MONTCLAIR RD
CLEARWATER, FL 33763
Pinellas County (727) 855-6191
SUMMERVILLE 9 LLC
Assisted Living Facility
2155 MONTCLAIR RD
CLEARWATER, FL 33763
Pinellas County (727) 797-7257
SARAH A FOLMER O.T.
Occupational Therapist
2155 MONTCLAIR RD
CLEARWATER, FL 33763
Pinellas County (727) 797-7257
MS. SHANEL LOREE JACKSON P.T.
Physical Therapist
2155 MONTCLAIR RD
CLEARWATER, FL 33763
Pinellas County (727) 380-5250
SH BECKETT LAKE, LLC.
Assisted Living Facility
2155 MONTCLAIR RD
CLEARWATER, FL 33763
Pinellas County (727) 797-7257

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pruittplace - Clearwater, LLC's NPI number?

The NPI number for Pruittplace - Clearwater, LLC is 1073492997. It was assigned to this organization in the NPPES registry on August 27, 2025.

Where is Pruittplace - Clearwater, LLC located?

Pruittplace - Clearwater, LLC is located at 2155 Montclair Rd, Clearwater, FL 33763. The listed phone number is (727) 855-6191.

What is Pruittplace - Clearwater, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Pruittplace - Clearwater, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Pruittplace - Clearwater, LLC was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.