PRUITTHEALTH HOSPICE - COLUMBIA
NPI 1790723435
Hospice, Inpatient in Columbia, SC

NPI Status: Active since June 03, 2006

Contact Information

903 ELMWOOD AVE STE A
COLUMBIA, SC
ZIP 29201
Phone: (803) 771-0489

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  • Organization
  • Hospice, Inpatient
  • CLIA Number: 42D1047819
  • CLIA Cert. Type: Hospice
  • CLIA Exp. Date: 11-14-2027

About PRUITTHEALTH HOSPICE - COLUMBIA

This page provides the complete NPI Profile along with additional information for Pruitthealth Hospice - Columbia, a provider established in Columbia, South Carolina operating as a Hospice, Inpatient. The healthcare provider is registered in the NPI registry with number 1790723435 assigned on June 2006. The practitioner's primary taxonomy code is 315D00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Pruitthealth Hospice - Columbia. The authorized official of this NPI record is Mr. Neil L Pruitt Jr. (Chairman And Ceo)

NPI
1790723435
Provider Legal Name
PRUITTHEALTH HOSPICE, INC.
Other Organization Name
PRUITTHEALTH HOSPICE - COLUMBIA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
903 ELMWOOD AVE STE A COLUMBIA, SC 29201
Location Phone
(803) 771-0489
Mailing Address
1626 JEURGENS CT NORCROSS, GA 30093
Mailing Phone
(770) 279-6200
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-03-2006
Last Update Date
06-21-2018
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Location Map

Secondary Locations

  • 118 York St
    Chester, SC 29706
    (803) 385-2002

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospice, Inpatient

Taxonomy Code
315D00000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. NEIL L PRUITT JR.

Authorized Official Title
CHAIRMAN AND CEO
Authorized Official Phone
(770) 279-6200

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
HSP073MEDICAID (05)SC 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
42D1047819
Facility Type
Hospice
Certificate Effective Date
November 15, 2025
Certificate Expiration Date
November 14, 2027
Laboratory Director
TINA MOAK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pruitthealth Hospice - Columbia to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1790723435, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
4
Unchanged
Pos 9
3
Doubled → 6
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 3 → 6 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 8 + 0 + 1 + 4 + 2 + 6 + 4 + 6 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1790723435.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790723435, enumerated as an "organization" on June 03, 2006.

The provider is located at 903 ELMWOOD AVE STE A COLUMBIA, SC 29201 and the phone number is (803) 771-0489.

Hospice, Inpatient with taxonomy code 315D00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.