Provider Demographics
NPI:1104271857
Name:PROHEALTH HOSPICE-ALABAMA, LLC
Entity type:Organization
Organization Name:PROHEALTH HOSPICE-ALABAMA, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
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:844-358-0261
Practice Address - Street 1:300 MEDICAL CENTER DR STE 102
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35903-1139
Practice Address - Country:US
Practice Address - Phone:256-646-5061
Practice Address - Fax:205-721-9882
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PROHEALTH GROUP INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-05-02
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based