Healthcare Provider Details

I. General information

NPI: 1104271857
Provider Name (Legal Business Name): PROHEALTH HOSPICE-ALABAMA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2016
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 CORPORATE DR
BIRMINGHAM AL
35242-2725
US

IV. Provider business mailing address

1800 CORPORATE DR
BIRMINGHAM AL
35242-2725
US

V. Phone/Fax

Practice location:
  • Phone: 205-236-3066
  • Fax: 205-821-9882
Mailing address:
  • Phone: 205-820-7000
  • Fax: 844-358-0261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DAVID ALAN LESTER
Title or Position: CEO
Credential:
Phone: 205-820-7000