Active NPI
Solamor Hospice Corporation
- Community Based Hospice Care Agency
- Milford, CT
National Provider Identifier
1003850694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008014039 | Medicaid | CT |
Other names 1
- SolAmor Hospice
National Provider Directory
National Provider DirectoryMember 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.