Active NPI
Allegiance Hospice Care of Maine
Doing business as SolAmor Hospice
- Community Based Hospice Care Agency
- South Portland, ME
National Provider Identifier
1962542092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 37044
- Legal business name
- ALLEGIANCE HOSPICE CARE OF MAINE
- Doing business as
- SolAmor Hospice
- Practice address
- 100 Foden Road West
Suite 200
South Portland, ME 04106-2323 - Phone
- (207) 761-6967
- Fax
- (207) 772-6240
- NPI assigned
- Feb 7, 2007
- Last updated
- Aug 3, 2011
- Organization subpart
- Yes
- Parent organization
- ALLEGIANCE HOSPICE GROUP, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Glen R Cavallo
- Title
- President
- Phone
- (479) 996-5900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 37044 | ME | Primary |
Addresses
Primary practice location
100 Foden Road West
Suite 200
South Portland, ME 04106-2323
Mailing address
101 Sun Avenue NE
Albuquerque, NM 87109-0000
Phone (505) 468-5604
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432631300 | Medicaid | ME |
Other names 1
- SolAmor Hospice
National Provider Directory
National Provider Directory- Part of
- Allegiance Hospice Group Inc
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Columbia Crest Center
- Skilled Nursing Facility
- Moses Lake, WA
- NPI 1982651758
Member Of
Locations
23 Spring St
Ste C
Scarborough, ME 04074
Phone (207) 761-6967
100 Foden Rd
#200
South Portland, ME 04106
Phone (877) 255-4623
100 Foden Rd
Ste W-200
South Portland, ME 04106
Phone (207) 523-8500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312329600000",
"number": "1962542092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 SUN AVENUE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871090000",
"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": "100 FODEN ROAD WEST",
"address_2": "SUITE 200",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062323",
"telephone_number": "207-761-6967",
"fax_number": "207-772-6240"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLEGIANCE HOSPICE CARE OF MAINE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ALLEGIANCE HOSPICE GROUP, INC.",
"enumeration_date": "2007-02-07",
"last_updated": "2011-08-03",
"status": "A",
"authorized_official_last_name": "CAVALLO",
"authorized_official_first_name": "GLEN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "479-996-5900",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "ME",
"license": "37044",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432631300",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SolAmor Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.