Provider Demographics
NPI:1467154740
Name:PROHEALTH HOME HEALTH-GEORGIA, LLC
Entity Type:Organization
Organization Name:PROHEALTH HOME HEALTH-GEORGIA, LLC
Other - Org Name:PROHEALTH HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:LESTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-820-7000
Mailing Address - Street 1:1800 CORPORATE DR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-2725
Mailing Address - Country:US
Mailing Address - Phone:205-820-7000
Mailing Address - Fax:
Practice Address - Street 1:1800 CORPORATE DR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-2725
Practice Address - Country:US
Practice Address - Phone:205-820-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-20
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health