PRUITTPLACE - WINSTON SALEM LLC NPI 1649070673

NPI Information

  • NPI: 1649070673
  • Provider Name: PRUITTPLACE - WINSTON SALEM LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 2500 POLO RIDGE CT
    WINSTON SALEM, NC
    ZIP 27106
  • Phone: (770) 279-6200

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NPI Details

PRUITTPLACE - WINSTON SALEM LLC is an assisted living facility in Winston Salem, NC. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. PRUITTPLACE - WINSTON SALEM LLC NPI is 1649070673. The provider is registered as an organization entity type.

The provider's business location address is:

2500 POLO RIDGE CT
WINSTON SALEM, NC
ZIP 27106-950
Phone: (770) 279-6200

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 enumeration date for this NPI number is 3/18/2025 and was last updated on 3/18/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

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: 11/21/2025

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