Organization Active NPI

Solamor Hospice Corporation

Doing business as SolAmor Hospice

  • Community Based Hospice Care Agency
  • Toms River, NJ
National Provider Identifier
1497796601
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
23495 Issued in NJ
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 CORPORATIONAs reported in NPPES

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
Glen Cavallo
Title
President
Phone
(479) 782-9230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0248681MedicaidNJ

Other names 1

  • SolAmor Hospice Doing business as

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.

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.

Verify at the official NPI Registry.