NPIMap

Organization Active NPI

Solamor Hospice Corporation

Doing business as SolAmor Hospice

  • Community Based Hospice Care Agency
  • Albuquerque, NM
National Provider Identifier
1861434573
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
3200 Issued in NM
Legal business name
SOLAMOR HOSPICE CORPORATION
Doing business as
SolAmor Hospice
Practice address
7301 Indian School Road NE
Suite B
Albuquerque, NM 87110
Phone
(505) 821-2500
Fax
(505) 821-2505
NPI assigned
Jun 10, 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) 709-9484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 3200 NM Primary

Addresses

Primary practice location

7301 Indian School Road NE
Suite B
Albuquerque, NM 87110

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
59939877MedicaidNM

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

7301 Indian School Rd NE
Ste B
Albuquerque, NM 87110
Phone (505) 821-2500

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1861434573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SUN AVE NE",
            "address_2": "COMPLIANCE DEPARTMENT",
            "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": "7301 INDIAN SCHOOL ROAD NE",
            "address_2": "SUITE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87110",
            "telephone_number": "505-821-2500",
            "fax_number": "505-821-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLAMOR HOSPICE CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOLAMOR HOSPICE CORPORATION",
        "enumeration_date": "2006-06-10",
        "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": "479-709-9484"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NM",
            "license": "3200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59939877",
            "state": "NM"
        }
    ],
    "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 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.