Active NPI
Solamor Hospice Corporation
Doing business as SolAmor Hospice
- Community Based Hospice Care Agency
- Toms River, NJ
National Provider Identifier
1497796601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 23495
- Legal business name
- SOLAMOR HOSPICE CORPORATION
- Doing business as
- SolAmor Hospice
- Practice address
- 1415 Hooper Ave
Suite 203
Toms River, NJ 08753-2800 - Phone
- (866) 411-9555
- Fax
- (732) 341-7492
- NPI assigned
- Jun 9, 2006
- Organization subpart
- Yes
- Parent organization
- SOLAMOR HOSPICE CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Glen Cavallo
- Title
- President
- Phone
- (479) 782-9230
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 23495 | NJ | Primary |
Addresses
Primary practice location
1415 Hooper Ave
Suite 203
Toms River, NJ 08753-2800
Mailing address
101 Sun Ave NE
Compliance Dept
Albuquerque, NM 87109-4373
Phone (505) 468-5604
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0248681 | Medicaid | NJ |
Other names 1
- SolAmor Hospice
National Provider Directory
National Provider Directory- Part of
- Solamor Hospice Corporation
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Cottage of the Shoals
- Skilled Nursing Facility
- Tuscumbia, AL
- NPI 1285685362
Member Of
Locations
1415 Hooper Ave
Ste 305
Toms River, NJ 08753
Phone (732) 341-0662
54 E Water St
Toms River, NJ 08753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308700800000",
"number": "1497796601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 SUN AVE NE",
"address_2": "COMPLIANCE DEPT",
"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": "1415 HOOPER AVE",
"address_2": "SUITE 203",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087532800",
"telephone_number": "866-411-9555",
"fax_number": "732-341-7492"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOLAMOR HOSPICE CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOLAMOR HOSPICE CORPORATION",
"enumeration_date": "2006-06-09",
"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"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NJ",
"license": "23495",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0248681",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SolAmor Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Toms River, NJ
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.