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COUNTRYSIDE HOSPICE CARE INC NPI 1245562107


NPI Information

NPI: 1245562107
Provider Name: COUNTRYSIDE HOSPICE CARE, INC

Doing Business As: SOLAMOR HOSPICE CALHOUN

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
189 PROFESSIONAL CT SE
SUITE 300
CALHOUN, GA
ZIP 30701
Phone: (706) 602-9001
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COUNTRYSIDE HOSPICE CARE, INC is a hospice care community based in Calhoun, GA. COUNTRYSIDE HOSPICE CARE, INC NPI is 1245562107. The provider is registered as an organization entity type.
The provider Is Doing Business As Solamor Hospice Calhoun.

The provider's business location address is:

189 PROFESSIONAL CT SE
SUITE 300
CALHOUN, GA
ZIP 30701-053
Phone: (706) 602-9001

The provider's authorized official is Glen Cavallo .
The authorized official title is Sr. Vp - Operations and has the following contact phone number (479) 996-5900.

The enumeration date for this NPI number is 2/3/2010 and was last updated on 2/16/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251G00000XHospice Care, Community Based146-142-HGEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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