Pruitthealth - Crystal Coast, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 8022256072 Enrollment ID O20130603000332

Details

Linked facilitiesFacilities
1
StatesStates
1

20 parties: 12 organizations · 8 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Nena Hancock5991055220IndividualOperational/Managerial Control; ADP of the SNF
United Health Services of North Carolina Inc8426086471Organization5% or Greater Direct Ownership Interest99
UHS-PRUITT Holdings, Inc.8527218858Organization5% or Greater Indirect Ownership Interest100
United Health Services Inc2668380650Organization5% or Greater Indirect Ownership Interest100
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 Interest; ADP of the SNF; Indirect Ownership Interest22.98, 21.44
J Paige Pruitt Trust9739339532Organization5% or Greater Indirect Ownership Interest; Indirect Ownership Interest21.44
Unknown party4688199748OrganizationADP of the SNF; Indirect Ownership Interest6.29
Nwp 2020 Child Tr Fbo Neil L Pruitt Jr5294118337OrganizationIndirect Ownership Interest2.4
Unknown party6406371566OrganizationIndirect Ownership Interest2.4
Unknown party9032634191OrganizationADP of the SNF; Indirect Ownership Interest1.59
Neil Little Pruitt4385552371IndividualCorporate Officer; Indirect Ownership Interest0, 1
Unknown party1850816919OrganizationADP of the SNF; Indirect Ownership Interest0
Nancy W Pruitt6103734199IndividualCorporate Officer0
Philip W. Small3274442058IndividualCorporate Director0
Unknown party7214452382IndividualADP of the SNF
Unknown party4587189642IndividualADP of the SNF
Unknown party2769907823IndividualADP of the SNF
Unknown party6305361460IndividualADP of the SNF
Pruitthealth Consulting Services Inc7214458942OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Pruitthealth-Crystal Coast
Pruitthealth - Crystal Coast, LLC
93 residents
Other disclo…
3.23Ovr★★★★Stf★★★★Ins★★★★QM★★☆☆☆93
  • Pruitthealth - Crystal Coast, LLC
    Other disclosed role93 res3.23 HPRD
    Overall 4Staffing Staff 4
Related CMS associates

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Name match to Pruitthealth - Crystal Coast, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.