Organization Active NPI

Solamor Hospice Corporation

  • Community Based Hospice Care Agency
  • Milford, CT
National Provider Identifier
1003850694
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
0022
Legal business name
SOLAMOR HOSPICE CORPORATION
Practice address
4 Oxford Rd
Suite E4
Milford, CT 06460-3855
Phone
(203) 301-0489
Fax
(203) 301-0632
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Glen Cavallo
Title
President
Phone
(479) 782-9230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 0022 Primary

Addresses

Primary practice location

4 Oxford Rd
Suite E4
Milford, CT 06460-3855

Mailing address

101 Sun Ave NE
Compliance Department
Albuquerque, NM 87109-4373
Phone (505) 468-5604

Other identifiers 1

IdentifierTypeStateIssuer
008014039MedicaidCT

Other names 1

  • SolAmor Hospice Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4 Oxford Rd
Ste E4
Milford, CT 06460
Phone (203) 301-0489

1080 Elm St
Ste 201
Rocky Hill, CT 06067
Phone (860) 208-6964

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1003850694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SUN AVE NE",
            "address_2": "COMPLIANCE DEPARTMENT",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094373",
            "telephone_number": "505-468-5604",
            "fax_number": "505-468-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 OXFORD RD",
            "address_2": "SUITE E4",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603855",
            "telephone_number": "203-301-0489",
            "fax_number": "203-301-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLAMOR HOSPICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "CAVALLO",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-782-9230",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": "0022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008014039",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SolAmor Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.