NPI 1487950234 · live from the CMS NPI Registry
Countryside Hospice Care, INC
Hospice Care, Community Based in Stockbridge, GA. National Provider Identifier 1487950234, active.
NPI record
| NPI | 1487950234 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 245 Country Club Dr, Bldg. 300a, Stockbridge, GA 30281 |
| Practice phone | 256-231-9190 |
| Mailing address | 101 Sun Ave Ne, Albuquerque, NM 87109 |
| Enumerated | January 26, 2011 |
| Last updated | February 16, 2012 |
| Authorized official | Glen Cavallo, Sr. Vp - Operations |
| Other names | Solamor Hospice Stockbridge |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | 038156H (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.