NPIMap

Organization Active NPI

Solamor Hospice Corporation

  • Community Based Hospice Care Agency
  • Bourne, MA
National Provider Identifier
1124062740
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
7ADX Issued in MA
Legal business name
SOLAMOR HOSPICE CORPORATION
Practice address
123 Waterhouse Road
Suite 5
Bourne, MA 02532-3890
Phone
(508) 743-0203
Fax
(508) 743-0249
NPI assigned
Jun 15, 2006
Organization subpart
Yes
Parent organization
SOLAMOR HOSPICE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Authorized official

Name
Mr. Glen R Cavallo
Title
President
Phone
(479) 996-5900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X MA
Community Based Hospice Care Agency 251G00000X 7ADX MA Primary

Addresses

Primary practice location

123 Waterhouse Road
Suite 5
Bourne, MA 02532-3890

Mailing address

123 Waterhouse Road
Suite 5
Bourne, MA 02532-3890
Phone (508) 743-0203

Other identifiers 2

IdentifierTypeStateIssuer
110024507GMedicaidMA
0608076MedicaidMA

Other names 1

  • SolAmor Hospice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Allegiance Hospice Care of Southeastern Massachusetts LLC3 organizations share this tax ID, including this one
Part of
Solamor Hospice Corporation

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

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

Locations

12 Kent Way
Ste 102
Byfield, MA 01922
Phone (877) 255-4623

161 S Main St
Ste 105
Middleton, MA 01949
Phone (978) 774-3816

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": "1369353600000",
    "number": "1124062740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 WATERHOUSE ROAD",
            "address_2": "SUITE 5",
            "city": "BOURNE",
            "state": "MA",
            "postal_code": "025323890",
            "telephone_number": "508-743-0203",
            "fax_number": "508-743-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 WATERHOUSE ROAD",
            "address_2": "SUITE 5",
            "city": "BOURNE",
            "state": "MA",
            "postal_code": "025323890",
            "telephone_number": "508-743-0203",
            "fax_number": "508-743-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLAMOR HOSPICE CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOLAMOR HOSPICE CORPORATION",
        "enumeration_date": "2006-06-15",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "CAVALLO",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-996-5900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MA",
            "license": "7ADX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110024507G",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0608076",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SolAmor Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bourne, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.