Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PRUITTHEALTH-RIDGEWAY LLC
NPI 1104865138
Skilled Nursing Facility in Ridgeway, SC

Active since June 05, 2006CLIA 42D0882557 · Waiver
213 TANGLEWOOD COURT, RIDGEWAY, SC 29130(803) 337-3211(803) 337-8124 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pruitthealth-ridgeway Llc NPPES

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

PRUITTHEALTH-RIDGEWAY LLC (NPI 1104865138), doing business as Pruitthealth - Ridgeway, is a healthcare organization registered as a skilled nursing facility in Ridgeway, South Carolina and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through May 20, 2027 and lists Neil L Pruitt, Chairman And Ceo Of Manager, as its authorized official.

NPPES Registry Identity

NPI1104865138
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePRUITTHEALTH-RIDGEWAY LLC
Location Address213 TANGLEWOOD COURTRidgeway, SC 29130-7100
Mailing Address1626 Jeurgens CtNorcross, GA 30093-2219 · (770) 279-6200 · Fax (770) 931-5278
Fax(803) 337-8124
Organization SubpartNo
Authorized OfficialNeil L PruittChairman And Ceo Of Manager · (770) 279-6200
Enumeration DateJune 5, 2006
Last NPPES UpdateOctober 5, 2026
NPPES CertifiedOctober 5, 2026
✔ NPI 1104865138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in SC · NCF710
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 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.
213 TANGLEWOOD COURT, Ridgeway, SC 29130

Other Names 1

Doing Business AsPruitthealth - Ridgeway

Other Identifiers 1

Medicaid0124NHSC

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

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 42D0882557

Pruitthealth - Ridgeway, LLC · Ridgeway, SC
Active · expires May 20, 2027
CLIA Number42D0882557
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMay 21, 2025
Certificate Expiration DateMay 20, 2027
Laboratory DirectorKaren Phillips
Laboratory Phone(803) 337-3211
Laboratory LocationPruitthealth - Ridgeway, LLC231 Tanglewood Court, Ridgeway, SC 29130
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pruitthealth-Ridgeway LLC's NPI number?

The NPI number for Pruitthealth-Ridgeway LLC is 1104865138. It was assigned to this organization in the NPPES registry on June 5, 2006. The provider is doing business as PruittHealth - Ridgeway.

Where is Pruitthealth-Ridgeway LLC located?

Pruitthealth-Ridgeway LLC is located at 213 Tanglewood Court, Ridgeway, SC 29130. The listed phone number is (803) 337-3211.

What is Pruitthealth-Ridgeway LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Pruitthealth-Ridgeway LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D0882557) is associated with this NPI, valid through May 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pruitthealth-Ridgeway LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next and Molina Healthcare and 1 other insurer list Pruitthealth-Ridgeway LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pruitthealth-Ridgeway LLC was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.