ProHealth Hospice – Community Based Hospice Care Agency, NPI 1104271857
Community Based Hospice Care Agency
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for ProHealth Hospice
1800 CORPORATE DR
BIRMINGHAM, AL 352422725
Phone: (205) 820-7000
Fax: (844) 358-0261
Type: Mailing
Rainbow Drive, Gadsden, Etowah County, Alabama, 35901, United States
GADSDEN, AL 35901
Phone: (256) 456-9500
Fax: (855) 301-9880
Type: Location
1800 Corporate Dr
Birmingham, AL 352422725
Phone: (205) 236-3066
Fax: (205) 821-9882
Type: Location
1629 McFarland Blvd N Ste 401
Tuscaloosa, AL 354062239
Phone: (205) 526-4576
Fax: (205) 721-9882
Type: Location
710 Highway 78 W
Jasper, AL 355013750
Phone: (205) 754-0000
Fax: (205) 265-3655
Type: Location
717, 37th Street South, Avondale, Birmingham, Jefferson County, Alabama, 35222, United States
BIRMINGHAM, AL 352223244
Phone: (205) 820-7000
Fax: (844) 358-0261
Type: Mailing
300 MEDICAL CENTER DR STE 102
GADSDEN, AL 359031139
Phone: (256) 646-5061
Fax: (205) 721-9882
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-07-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (986 days ago).
Enrollment records
1
Earliest due date
2023-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20160719002739 | O | Hospice | AL | 2023-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 35242)
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