Active NPI
Prohealth-Gulf Coast, LLC
Doing business as ProHealth
- Home Health Agency
- Fairhope, AL
National Provider Identifier
1174900609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 2671-HH
- 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, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
- Premier Health Management, Inc. (Premier Medical Management Inc)
- Premier Internal Medicine, P.C.
- Carolyn Dale Presley, LCSW
- Prestige Telemedicine Group LLC
- Susan Miller Prewett
- Prohealth-Gulf Coast, LLC (ProHealth)
- Publix Alabama LLC (Publix Pharmacy #1265)
- Publix Alabama, LLC (Publix Pharmacy #1799)
- Publix Alabama, LLC (Publix Pharmacy 1809)
- Aubrey Pugh, CRNP
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.