NPIMap

Organization Active NPI

Countryside Hospice Care, Inc

Doing business as SolAmor Hospice

  • Community Based Hospice Care Agency
  • Albuquerque, NM
National Provider Identifier
1518238286
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
E3735 Issued in AL
Legal business name
COUNTRYSIDE HOSPICE CARE, INC
Doing business as
SolAmor Hospice
Practice address
101 Sun Ave NE
Albuquerque, NM 87109-4373
Phone
(505) 468-5604
Fax
(505) 468-4681
NPI assigned
Jan 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 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 E3735 AL Primary

Addresses

Primary practice location

101 Sun Ave NE
Albuquerque, NM 87109-4373

Mailing address

3522 Vann Rd
Suite 100
Birmingham, AL 35235-3224
Phone (205) 655-2229

Other names 1

  • SolAmor Hospice 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": "1327536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1518238286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3522 VANN RD",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353224",
            "telephone_number": "205-655-2229",
            "fax_number": "205-655-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRYSIDE HOSPICE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-26",
        "last_updated": "2012-01-26",
        "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": "AL",
            "license": "E3735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SolAmor Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.