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PRUITTHEALTH COMMUNITY SERVICES - BLUE RIDGE
NPI 1710010715
Custodial Care Facility - Adult Care Home in Blue Ridge, GA

Active since March 13, 2007
74 OUIDA STREET, BLUE RIDGE, GA 30513(706) 258-2819 Get Directions Write a Review

NPPES record last updated: June 30, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pruitthealth Community Services - Blue Ridge NPPES

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

PRUITTHEALTH COMMUNITY SERVICES - BLUE RIDGE (NPI 1710010715) is a healthcare organization registered as an adult care home in Blue Ridge, Georgia and active in the NPI registry since March 2007. The organization lists Neil L. Pruitt, Chairman And Ceo, as its authorized official.

NPPES Registry Identity

NPI1710010715
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NamePRUITTHEALTH - BLUE RIDGE LLC
Location Address74 OUIDA STREETBlue Ridge, GA 30513
Mailing Address1626 Jeurgens CtNorcross, GA 30093-2219 · (770) 279-6200
Phone(706) 258-2819
Organization SubpartNo
Authorized OfficialNeil L. PruittChairman And Ceo · (770) 279-6200
Enumeration DateMarch 13, 2007
Last NPPES UpdateJune 30, 2014
✔ NPI 1710010715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
74 OUIDA STREET, Blue Ridge, GA 30513
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Other Names 1

Doing Business AsPruitthealth Community Services - Blue Ridge

Other Identifiers 2

Medicaid00140973AGA
Medicare OSCAR/certification115468GA

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 - Blue Ridge LLC's NPI number?

The NPI number for Pruitthealth - Blue Ridge LLC is 1710010715. It was assigned to this organization in the NPPES registry on March 13, 2007. The provider is doing business as Pruitthealth Community Services - Blue Ridge.

Where is Pruitthealth - Blue Ridge LLC located?

Pruitthealth - Blue Ridge LLC is located at 74 Ouida Street, Blue Ridge, GA 30513. The listed phone number is (706) 258-2819.

What is Pruitthealth - Blue Ridge LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Pruitthealth - Blue Ridge LLC was last updated on June 30, 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.