Healthcare Provider Details

I. General information

NPI: 1770403065
Provider Name (Legal Business Name): PROHEALTH HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 HARRIS CT STE C3
MONTEREY CA
93940-5773
US

IV. Provider business mailing address

10 HARRIS CT STE C3
MONTEREY CA
93940-5773
US

V. Phone/Fax

Practice location:
  • Phone: 831-285-0685
  • Fax: 877-867-1787
Mailing address:
  • Phone: 831-285-0685
  • Fax: 877-867-1787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MOHAMED SHAHRAM MARLEEN
Title or Position: PRESIDENT/CEO
Credential:
Phone: 408-451-9055