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PRUITTHEALTH HOME HEALTH, INC.
NPI 1720667090
Home Health in Vidalia, GA

Active since April 05, 2021
1305 NORTH STREET, VIDALIA, GA 30472(770) 279-6200 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Pruitthealth Home Health, Inc. NPPES

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

PRUITTHEALTH HOME HEALTH, INC. (NPI 1720667090), doing business as Pruitthealth @ Home - Vidalia, is a healthcare organization registered as a home health in Vidalia, Georgia and active in the NPI registry since April 2021. The organization lists Nicole Marie Clements, Senior Corporate Paralegal, as its authorized official.

NPPES Registry Identity

NPI1720667090
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePRUITTHEALTH HOME HEALTH, INC.
Location Address1305 NORTH STREETVidalia, GA 30472
Mailing Address1626 Jeurgens Court, Legal DeptNorcross, GA 30093 · (770) 279-6200
Phone(770) 279-6200
Organization SubpartYes
Authorized OfficialNicole Marie ClementsSenior Corporate Paralegal · (678) 533-6395
Enumeration DateApril 5, 2021
Last NPPES UpdateOctober 23, 2025
NPPES CertifiedOctober 23, 2025
✔ NPI 1720667090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
1305 NORTH STREET, Vidalia, GA 30472
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Other Names 1

Doing Business AsPruitthealth @ Home - Vidalia

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 Home Health, Inc.'s NPI number?

The NPI number for Pruitthealth Home Health, Inc. is 1720667090. It was assigned to this organization in the NPPES registry on April 5, 2021. The provider is doing business as PruittHealth @ Home - Vidalia.

Where is Pruitthealth Home Health, Inc. located?

Pruitthealth Home Health, Inc. is located at 1305 North Street, Vidalia, GA 30472. The listed phone number is (770) 279-6200.

What is Pruitthealth Home Health, Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Pruitthealth Home Health, Inc. was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.