PRUITTHEALTH HOSPICE - FAYETTEVILLE
NPI 1386036473
Hospice, Inpatient in Fayetteville, NC

Q: What is Pruitthealth Hospice, Inc.'s NPI number?

The NPI number for Pruitthealth Hospice, Inc. is 1386036473. It was assigned to this organization in the NPPES registry on February 26, 2015. The provider is doing business as Pruitthealth Hospice - Fayetteville.

Q: What is Pruitthealth Hospice, Inc.'s specialty?

The primary specialty registered for this NPI is Hospice, Inpatient with taxonomy code 315D00000X.

Active since February 26, 2015CLIA 34D2096902 · Waiver

2850 VILLAGE DR STE 102, FAYETTEVILLE, NC 28304(910) 483-1793(910) 483-4315 Get Directions Write a Review

NPPES record last updated: December 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pruitthealth Hospice - Fayetteville NPPES

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

PRUITTHEALTH HOSPICE - FAYETTEVILLE (NPI 1386036473) is a healthcare organization registered as a hospice, inpatient in Fayetteville, North Carolina and active in the NPI registry since February 2015. The organization holds a CLIA Waiver certificate valid through June 2, 2027 and lists Neil L. Pruitt, Chairman And Ceo, as its authorized official.

NPPES Registry Identity

NPI1386036473

Entity TypeOrganization

Primary Taxonomy315D00000X

Legal Business NamePRUITTHEALTH HOSPICE, INC.

Location Address2850 VILLAGE DR STE 102Fayetteville, NC 28304-3864

Mailing Address1626 Jeurgens CtNorcross, GA 30093-2219 · (770) 279-6200 · Fax (770) 931-5278

Phone(910) 483-1793

Fax(910) 483-4315

Organization SubpartNo

Authorized OfficialNeil L. PruittChairman And Ceo · (770) 279-6200

Enumeration DateFebruary 26, 2015

Last NPPES UpdateDecember 21, 2020

NPPES CertifiedDecember 21, 2020

✔ NPI 1386036473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice, InpatientNursing & Custodial Care Facilities

Taxonomy Code315D00000X

Definition

A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient.

2850 VILLAGE DR STE 102, Fayetteville, NC 28304

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Other Names 1

Doing Business AsPruitthealth Hospice - Fayetteville

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 34D2096902

Pruitthealth Hospice, Dba Pruitthealth Hospice - Fayetteville · Fayetteville, NC

Active · expires Jun 2, 2027

CLIA Number34D2096902

Laboratory TypeHospice

Certificate Effective DateJune 3, 2025

Certificate Expiration DateJune 2, 2027

Laboratory DirectorKaren Thompson

Laboratory Phone(910) 483-1793

Laboratory LocationPruitthealth Hospice, Dba Pruitthealth Hospice - Fayetteville2850 Village Drive Suite 102, Fayetteville, NC 28304

CLIA data matches this NPI record on: Address 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 Hospice, Inc.'s NPI number?

The NPI number for Pruitthealth Hospice, Inc. is 1386036473. It was assigned to this organization in the NPPES registry on February 26, 2015. The provider is doing business as Pruitthealth Hospice - Fayetteville.

Where is Pruitthealth Hospice, Inc. located?

Pruitthealth Hospice, Inc. is located at 2850 Village Dr Ste 102, Fayetteville, NC 28304. The listed phone number is (910) 483-1793.

What is Pruitthealth Hospice, Inc.'s specialty?

The primary specialty registered for this NPI is Hospice, Inpatient with taxonomy code 315D00000X.

Does Pruitthealth Hospice, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2096902) is associated with this NPI, valid through June 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pruitthealth Hospice, Inc. was last updated on December 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.