Organization Active NPI

Prohealth-Gulf Coast, LLC

Doing business as ProHealth

  • Home Health Agency
  • Fairhope, AL
National Provider Identifier
1174900609
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2671-HH Issued in AL
Legal business name
PROHEALTH-GULF COAST, LLC
Doing business as
ProHealth
Practice address
105B Lottie LN
Fairhope, AL 36532-2995
Phone
(251) 517-7556
Fax
(251) 517-7669
NPI assigned
May 5, 2015
Organization subpart
Yes
Parent organization
PROHEALTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 10, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. David A Lester, JD
Title
General Counsel
Phone
(205) 820-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2671-HH AL Primary

Addresses

Primary practice location

105B Lottie LN
Fairhope, AL 36532-2995

Mailing address

717 37TH St S
Birmingham, AL 35222-3244
Phone (205) 820-7000

Other names 1

  • ProHealth Doing business as

National Provider Directory

National Provider Directory
Part of
Prohealth LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557446400000",
    "number": "1174900609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 37TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352223244",
            "telephone_number": "205-820-7000",
            "fax_number": "844-358-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105B LOTTIE LN",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322995",
            "telephone_number": "251-517-7556",
            "fax_number": "251-517-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH-GULF COAST, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROHEALTH, LLC",
        "enumeration_date": "2015-05-05",
        "last_updated": "2019-05-10",
        "status": "A",
        "authorized_official_last_name": "LESTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "205-820-7000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AL",
            "license": "2671-HH",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProHealth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProHealth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairhope, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.