NPIMap

Organization Active NPI

Countryside Hospice Care, Inc

Doing business as SolAmor Hospice Calhoun

  • Community Based Hospice Care Agency
  • Calhoun, GA
National Provider Identifier
1245562107
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
146-142-H Issued in GA
Legal business name
COUNTRYSIDE HOSPICE CARE, INC
Doing business as
SolAmor Hospice Calhoun
Practice address
189 Professional CT SE
Suite 300
Calhoun, GA 30701-7053
Phone
(706) 602-9001
NPI assigned
Feb 3, 2010
Last updated
Feb 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Authorized official

Name
Glen Cavallo
Title
Sr. VP - Operations
Phone
(479) 996-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 146-142-H GA Primary

Addresses

Primary practice location

189 Professional CT SE
Suite 300
Calhoun, GA 30701-7053

Mailing address

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

Other names 1

  • SolAmor Hospice Calhoun Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Countryside Hospice Care Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1245562107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SUN AVE NE",
            "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": "189 PROFESSIONAL CT SE",
            "address_2": "SUITE 300",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307017053",
            "telephone_number": "706-602-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRYSIDE HOSPICE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "CAVALLO",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "SR. VP - OPERATIONS",
        "authorized_official_telephone_number": "479-996-5900"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": "146-142-H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SolAmor Hospice Calhoun",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Calhoun, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.