PRUITTHEALTH - NORTH TAMPA, LLC
NPI 1821705237
Skilled Nursing Facility in Lutz, FL

Active since November 04, 2022CLIA 10D2272815 · Waiver
18940 SUNLAKE BLVD, LUTZ, FL 33558(770) 296-6200 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pruitthealth - North Tampa, Llc NPPES

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

PRUITTHEALTH - NORTH TAMPA, LLC (NPI 1821705237) is a healthcare organization registered as a skilled nursing facility in Lutz, Florida and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through November 29, 2026 and lists Neil L Pruitt, Chairman And Ceo, as its authorized official.

NPPES Registry Identity

NPI1821705237
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePRUITTHEALTH - NORTH TAMPA, LLC
Location Address18940 SUNLAKE BLVDLutz, FL 33558-4943
Mailing Address1626 Jeurgens Ct, Attn: Legal DeptNorcross, GA 30093 · (770) 279-6200
Organization SubpartNo
Authorized OfficialNeil L PruittChairman And Ceo · (770) 279-6200
Enumeration DateNovember 4, 2022
NPPES CertifiedNovember 3, 2022
NPI 1821705237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
18940 SUNLAKE BLVD, Lutz, FL 33558

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 10D2272815

Pruitthealth - North Tampa, LLC · Lutz, FL
Active · expires Nov 29, 2026
CLIA Number10D2272815
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateNovember 30, 2024
Certificate Expiration DateNovember 29, 2026
Laboratory DirectorKevin Bryant
Laboratory Phone(678) 533-6300
Laboratory LocationPruitthealth - North Tampa, LLC18940 Sunlake Blvd, Lutz, FL 33558
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Pruitthealth-North Tampa, LLC (CMS certification number 106150), from CMS Care Compare.

Pruitthealth-North Tampa, LLC

Nursing home · Lutz, FL
OwnershipFor profit - Corporation
CMS Certification Number106150
Certified Beds90 beds59 residents per day on average
Medicare & Medicaid Participant SinceMarch 15, 2023
Resident & Family CouncilResident council
Automatic sprinkler system

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.29 · LPN 0.85 · RN 1.03
4.18 hrs per resident per day
Weekend Nurse Staffing
3.38 hrs per resident per day
Physical Therapist Staffing
0.16 hrs per resident per day
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
4 totaling $9,525.27
Medicare Payment Denials
0
Total Penalties
4
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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 - North Tampa, LLC's NPI number?

The NPI number for Pruitthealth - North Tampa, LLC is 1821705237. It was assigned to this organization in the NPPES registry on November 4, 2022.

Where is Pruitthealth - North Tampa, LLC located?

Pruitthealth - North Tampa, LLC is located at 18940 Sunlake Blvd, Lutz, FL 33558. The listed phone number is (770) 296-6200.

What is Pruitthealth - North Tampa, LLC's specialty?

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

Does Pruitthealth - North Tampa, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2272815) is associated with this NPI, valid through November 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Pruitthealth - North Tampa, LLC a Medicare-certified nursing home?

Yes. Pruitthealth-North Tampa, LLC is a Medicare-certified nursing home with 90 certified beds.

When was this NPI record last updated?

The NPPES record for Pruitthealth - North Tampa, LLC was last updated on November 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.