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PRUITTHEALTH HOME HEALTH, INC.
NPI 1922718774
Home Health in Jacksonville, FL

Active since December 02, 2022CLIA 10D2272362 · Waiver
4250 LAKESIDE DR, JACKSONVILLE, FL 32210(833) 679-5232 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 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 1922718774), doing business as Pruitthealth @ Home Jacksonville, is a healthcare organization registered as a home health in Jacksonville, Florida and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through November 17, 2026 and lists Lynethia Nytonya Holley, Provider Enrollment Specialist, as its authorized official.

NPPES Registry Identity

NPI1922718774
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePRUITTHEALTH HOME HEALTH, INC.
Location Address4250 LAKESIDE DRJacksonville, FL 32210-3358
Mailing Address1626 Jeurgens CtNorcross, GA 30093-2219 · (678) 296-0751
Phone(833) 679-5232
Organization SubpartNo
Authorized OfficialLynethia Nytonya HolleyProvider Enrollment Specialist · (786) 296-0751
Enumeration DateDecember 2, 2022
Last NPPES UpdateOctober 23, 2025
NPPES CertifiedOctober 23, 2025
✔ NPI 1922718774 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.
4250 LAKESIDE DR, Jacksonville, FL 32210
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Other Names 1

Doing Business AsPruitthealth @ Home Jacksonville

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 10D2272362

Pruitthealth Home Health, Inc Dba Pruitthealth At Home - Jacksonville · Jacksonville, FL
Active · expires Nov 17, 2026
CLIA Number10D2272362
Laboratory TypeHome Health Agency
Certificate Effective DateNovember 18, 2024
Certificate Expiration DateNovember 17, 2026
Laboratory DirectorJoseph Huff
Laboratory Phone(770) 296-6200
Laboratory LocationPruitthealth Home Health, Inc Dba Pruitthealth At Home - Jacksonville4250 Lakeside Dr - Ste 214, Jacksonville, FL 32210
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. HEATHER RICE CORNELL
Social Worker
4250 LAKESIDE DR, SUITE 116 AGING TRUE/URBAN JACKSONVILLE
JACKSONVILLE, FL 32210
Duval County (904) 807-1291
KAREN ANN AVESATO LCSW
Social Worker (Clinical)
4250 LAKESIDE DR, SUITE 116
JACKSONVILLE, FL 32210
Duval County (904) 807-1228
DIANNE E MOLLICA LMHC
Counselor (Mental Health)
4250 LAKESIDE DR, AGING TRUE
JACKSONVILLE, FL 32210
Duval County (904) 807-1249
HANNAH HACKWORTH LCSW
Social Worker (Clinical)
4250 LAKESIDE DR, STE. 116
JACKSONVILLE, FL 32210
Duval County (904) 807-1230

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 1922718774. It was assigned to this organization in the NPPES registry on December 2, 2022. The provider is doing business as PruittHealth @ Home Jacksonville.

Where is Pruitthealth Home Health, Inc. located?

Pruitthealth Home Health, Inc. is located at 4250 Lakeside Dr, Jacksonville, FL 32210. The listed phone number is (833) 679-5232.

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

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

Does Pruitthealth Home Health, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2272362) is associated with this NPI, valid through November 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pruitthealth Home Health, Inc. accept?

Health plans from UnitedHealthcare list Pruitthealth Home Health, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 9 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.