Pruitthealth - Bethany, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 4486833563 Enrollment ID O20110120001179

Details

Linked facilitiesFacilities
1
StatesStates
1

20 parties: 12 organizations · 8 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Pruitthealth Inc3476461468OrganizationOperational/Managerial Control99
Antwanna Neal2365766466IndividualOperational/Managerial Control; ADP of the SNF
Heywood K Gay4688684244IndividualOperational/Managerial Control; ADP of the SNF
United Health Services of Georgia, Inc.9133027543Organization5% or Greater Direct Ownership Interest; Direct Ownership Interest99
United Health Services Inc2668380650Organization5% or Greater Indirect Ownership Interest; Indirect Ownership Interest99, 100
UHS-PRUITT Holdings, Inc.8527218858Organization5% or Greater Indirect Ownership Interest99
Neil L Pruitt Jr Trust5193975993Organization5% or Greater Indirect Ownership Interest; ADP of the SNF; Indirect Ownership Interest42.86
Lisa P Hamby Trust4284884081Organization5% or Greater Indirect Ownership Interest31.34
J Paige Pruitt Trust9739339532Organization5% or Greater Indirect Ownership Interest; ADP of the SNF; Indirect Ownership Interest21.44
Unknown party7315435724OrganizationADP of the SNF; Indirect Ownership Interest6.29
Nwp 2020 Child Tr Fbo Neil L Pruitt Jr5294118337OrganizationIndirect Ownership Interest2.4
Unknown party9133617541OrganizationIndirect Ownership Interest2.4
Unknown party1951899368OrganizationADP of the SNF; Indirect Ownership Interest1.59
Neil Little Pruitt4385552371IndividualCorporate Officer; Indirect Ownership Interest0, 1
Nancy W Pruitt6103734199IndividualCorporate Officer0
Philip W. Small3274442058IndividualCorporate Director0
Unknown party8123516531IndividualADP of the SNF
Unknown party0941798359IndividualADP of the SNF
Unknown party7214425628IndividualADP of the SNF
Pruitthealth Consulting Services Inc7214458942OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Pruitthealth - Bethany
Pruitthealth - Bethany, LLC
80 residents
Other disclo…
2.80Ovr★★★☆☆Stf★★☆☆☆Ins★★☆☆☆QM★★★★★80
  • Pruitthealth - Bethany, LLC
    Other disclosed role80 res2.80 HPRD
    Overall 3Staffing Staff 2
Related CMS associates

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