# PRUITTHEALTH - RALEIGH, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PRUITTHEALTH - RALEIGH, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720309933
- **Legal business name:** PRUITTHEALTH - RALEIGH, LLC
- **Authorized official:** NEIL L. PRUITT JR. (CHAIRMAN AND CEO)
- **Authorized official phone:** (919) 755-0226

## Contact information

- **Practice address:** 2420 LAKE WHEELER RD, RALEIGH, NC 27603-2614
- **Practice address phone:** (919) 755-0226
- **Practice address fax:** (919) 755-0313
- **Mailing address:** 1626 JEURGENS COURT, LEGAL DEPT, NORCROSS, GA 30093-2219
- **Mailing address phone:** (919) 755-0226
- **Mailing address fax:** (919) 755-0313

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0618 | NC | Yes |

## Other

- **Enumeration date:** 06/22/2010
- **Last updated:** 09/30/2021