Prohealth Hospice-Georgia, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PROHEALTH HOSPICE-GEORGIA, LLC

Doing business as

ProHealth Hospice

Practice address

1800 Corporate Dr
Birmingham, AL 35242-2725

Phone

(205) 820-7000

NPI assigned

Mar 22, 2023

Organization subpart

No

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

Authorized official

Name

Mr. David Alan Lester

Title

Ceo

Phone

(205) 820-7000

Specialties & licenses 1

Addresses

Other names 1

• ProHealth Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Hospice certification: CCN 851513

Legal name

PROHEALTH HOSPICE-GEORGIA LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 8, 2019

Last certification

Aug 8, 2019

Ownership / control type

Proprietary - Individual

Organization structure

LLCProprietary

Incorporated

Apr 27, 2022 in AL

Enrollment address

5820 Veterans Pkwy
Ste 109
Columbus, GA 31904-3453

Listed as

Prohealth Hospice-Georgia, LLCCCN 851513 · All quality measures

Ownership

For-Profit

Certified

Aug 8, 2019

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Prohealth Hospice-Alabama, LLC

  dba ProHealth Hospice

  • Community Based Hospice Care Agency
  • Birmingham, AL
  • NPI 1104271857

  David Alan Lester Irrevocable Trust II, Hannah E Lester Irrevocable Trust II, James Paul Lester Irrevocable Trust

  CMS ownership
• Prohealth Home Health-Georgia, LLC

  dba ProHealth Home Health

  • Home Health Agency
  • Cartersville, GA
  • NPI 1467154740

  David Alan Lester Irrevocable Trust II, Hannah E Lester Irrevocable Trust II, James Paul Lester Irrevocable Trust, Prohealth Home Health & Hospice, LLC

  CMS ownership

Change-of-ownership history 1

Change of ownership 1

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

• Ultra Care Hospice, LLC

  • Community Based Hospice Care Agency
  • Columbus, GA
  • NPI 1396250312

  Acquired from, 2023-12-01

  CMS change of ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Piyush B. Patel, M.D.

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1629011283

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1750084695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 CORPORATE DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422725",
            "telephone_number": "205-820-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 CORPORATE DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422725",
            "telephone_number": "205-820-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH HOSPICE-GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "LESTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-820-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProHealth Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prohealth Home Health & Hospice, LLC (ProHealth Home Health & Hospice)
• Prohealth Home Health-Tennessee, LLC (ProHealth Home Health)
• Prohealth Home Health, LLC (ProHealth Home Health)
• Prohealth Hospice-Alabama, LLC (ProHealth Hospice)
• Prohealth Hospice-Florida, LLC
• Prohealth Hospice-Tennessee, LLC (ProHealth Hospice)
• Prohealth Hospice, LLC (ProHealth Hospice)
• Prohealth LLC (ProHealth)
• Prosperity and Progression Family Solutions, LLC
• Rebeca Protasio

• Community Based Hospice Care Agency in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Community Based Hospice Care Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.