Organization · Type 2 NPI

Prohealth-Gulf Coast, LLC

Home Health Agency · Fairhope, AL

NPI number 1174900609 Active

Practice location

105B Lottie Ln
Fairhope, AL 36532-2995

Call (251) 517-7556 Map

Fax (251) 517-7669

Mailing address

717 37th St S
Birmingham, AL 35222-3244

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	2671-HH (AL)

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

Another provider at this address

Prohealth-Gulf Coast, LLCHome Health Agency Fairhope, AL NPI 1477960912

Other home health agency providers in Fairhope

See all in Fairhope →

NPI record

NPI: 1174900609
Entity type: Organization (Type 2)
Issued: May 5, 2015
Last updated: May 10, 2019
Status: Active
Subpart: Yes of Prohealth, LLC

Other names

<unavail>
Prohealth · doing business as
Prohealth · doing business as

Authorized official

Mr. David A Lester, JD
General Counsel
(205) 820-7000

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174900609

Prohealth-Gulf Coast, LLC's National Provider Identifier is 1174900609, issued on May 5, 2015. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Fairhope, AL. The record was last updated on May 10, 2019.