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PRUITTHEALTH HOSPICE INC. NPI 1386036473


NPI Information

NPI: 1386036473
Provider Name: PRUITTHEALTH HOSPICE, INC.

Doing Business As: PRUITTHEALTH HOSPICE - FAYETTEVILLE

Classification: Hospice, Inpatient - 315D00000X
Entity Type: Organization

CLIA Number: 34D2096902

Address:
2850 VILLAGE DR STE 102
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 483-1793
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PRUITTHEALTH HOSPICE, INC. is a hospice inpatient in Fayetteville, NC. The provider is 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. PRUITTHEALTH HOSPICE, INC. NPI is 1386036473. The provider is registered as an organization entity type.
The provider Is Doing Business As Pruitthealth Hospice - Fayetteville.

The provider's business location address is:

2850 VILLAGE DR STE 102
FAYETTEVILLE, NC
ZIP 28304-864
Phone: (910) 483-1793
Fax: (910) 483-4315

The provider's authorized official is Neil L. Pruitt .
The authorized official title is Chairman And Ceo and has the following contact phone number (770) 279-6200.

The CLIA number assigned to this NPI record is 34D2096902 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/26/2015 and was last updated on 12/21/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315D00000XHospice, InpatientYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.