Prohealth-Gulf Coast, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

2671-HH Issued in AL

Legal business name

PROHEALTH-GULF COAST, LLC

Practice address

105B Lottie LN
Fairhope, AL 36532-2995

Phone

(866) 330-0609

Fax

(855) 301-9880

NPI assigned

Jul 16, 2014

Organization subpart

No

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

Authorized official

Name

Mr. David A Lester, J.D.

Title

Ceo

Phone

(205) 820-7000

Specialties & licenses 1

Addresses

Other names 1

• ProHealth Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Prohealth Home Health, LLC

  • Home Health Agency
  • Birmingham, AL
  • NPI 1194324624

  Sold to, 2021-08-01

  CMS change of ownership

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1477960912",
    "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": "866-330-0609",
            "fax_number": "855-301-9880"
        },
        {
            "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": "866-330-0609",
            "fax_number": "855-301-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH-GULF COAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-16",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "LESTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-820-7000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "J.D."
    },
    "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"
        }
    ]
}

• Premier Internal Medicine, P.C.
• Carolyn Dale Presley, LCSW
• Prestige Telemedicine Group LLC
• Susan Miller Prewett
• Prohealth-Gulf Coast, LLC
• Publix Alabama LLC
• Publix Alabama, LLC
• Publix Alabama, LLC
• Aubrey Pugh, CRNP
• Holly Gluth Pursley, MD

• Home Health Agency in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Home Health Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.