PRUITTHEALTH - CRESTWOOD
NPI 1295774222
Skilled Nursing Facility in Valdosta, GA

Active since June 05, 2006
415 PENDLETON PL, VALDOSTA, GA 31602(229) 242-6868(229) 242-5357 Get Directions Write a Review

NPPES record last updated: May 9, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pruitthealth - Crestwood NPPES

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

PRUITTHEALTH - CRESTWOOD (NPI 1295774222) is a healthcare organization registered as a skilled nursing facility in Valdosta, Georgia and active in the NPI registry since June 2006. The organization lists Neil L Pruitt, Chairman And Ceo Of Manager, as its authorized official.

NPPES Registry Identity

NPI1295774222
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLOWNDES COUNTY HEALTH SERVICES LLC
Location Address415 PENDLETON PLValdosta, GA 31602-2632
Mailing Address1626 Jeurgens CtNorcross, GA 30093-2219 · (770) 279-6200 · Fax (770) 931-5278
Fax(229) 242-5357
Organization SubpartNo
Authorized OfficialNeil L PruittChairman And Ceo Of Manager · (770) 279-6200
Enumeration DateJune 5, 2006
Last NPPES UpdateMay 9, 2014
NPI 1295774222 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 GA · 1-092-936
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.
415 PENDLETON PL, Valdosta, GA 31602

Other Names 1

Doing Business AsPruitthealth - Crestwood

Other Identifiers 2

Medicaid00140764AGA
Medicare OSCAR/certification115385GA

Other Providers at the Same Location NPPES 3

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

Skilled Nursing Facility
415 PENDLETON PL
VALDOSTA, GA 31602
Clinic/Center (Rehabilitation)
415 PENDLETON PL
VALDOSTA, GA 31602
Registered Nurse (Gerontology)
415 PENDLETON PL
VALDOSTA, GA 31602

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 Lowndes County Health Services LLC's NPI number?

The NPI number for Lowndes County Health Services LLC is 1295774222. It was assigned to this organization in the NPPES registry on June 5, 2006. The provider is doing business as Pruitthealth - Crestwood.

Where is Lowndes County Health Services LLC located?

Lowndes County Health Services LLC is located at 415 Pendleton Pl, Valdosta, GA 31602. The listed phone number is (229) 242-6868.

What is Lowndes County Health Services LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Lowndes County Health Services LLC was last updated on May 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.