Provider Demographics
NPI:1265231013
Name:PROHEALTH HOSPICE INC
Entity type:Organization
Organization Name:PROHEALTH HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:MARLEEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-527-5257
Mailing Address - Street 1:851 IRWIN ST STE 225F
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94901-3343
Mailing Address - Country:US
Mailing Address - Phone:415-527-5257
Mailing Address - Fax:415-480-8141
Practice Address - Street 1:851 IRWIN ST STE 225F
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94901-3343
Practice Address - Country:US
Practice Address - Phone:415-527-5257
Practice Address - Fax:415-480-8141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based