NPI 1245562107 · live from the CMS NPI Registry
Countryside Hospice Care, INC
Hospice Care, Community Based in Calhoun, GA. National Provider Identifier 1245562107, active.
NPI record
| NPI | 1245562107 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 189 Professional Ct Se, Suite 300, Calhoun, GA 30701 |
| Practice phone | 706-602-9001 |
| Mailing address | 101 Sun Ave Ne, Albuquerque, NM 87109 |
| Enumerated | February 3, 2010 |
| Last updated | February 16, 2012 |
| Authorized official | Glen Cavallo, Sr. Vp - Operations |
| Other names | Solamor Hospice Calhoun |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | 146-142-H (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.