Organization Active NPI

Prohealth Hospice Inc

  • Community Based Hospice Care Agency
  • San Rafael, CA
National Provider Identifier
1265231013
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PROHEALTH HOSPICE INC
Practice address
851 Irwin St Ste 225F
San Rafael, CA 94901-3343
Phone
(415) 527-5257
Fax
(415) 480-8141
NPI assigned
Mar 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Mohammed Marleen
Title
Owner/President
Phone
(415) 527-5257

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

851 Irwin St Ste 225F
San Rafael, CA 94901-3343

Mailing address

851 Irwin St Ste 225F
San Rafael, CA 94901-3343
Phone (415) 527-5257

National Provider Directory

National Provider Directory

Locations

851 Irwin St
Ste 225F
San Rafael, CA 94901
Phone (415) 527-5257

NPI Registry JSON

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1265231013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 IRWIN ST STE 225F",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013343",
            "telephone_number": "415-527-5257",
            "fax_number": "415-480-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 IRWIN ST STE 225F",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013343",
            "telephone_number": "415-527-5257",
            "fax_number": "415-480-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "MARLEEN",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "415-527-5257"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.