Countryside Hospice Care Inc

  • 1265470249 NPI Number
  • |
  • Actived: 17 years ago
  • |
Countryside Hospice Care Inc is a health care provider based in La Fayette, GA. The NPI Number is 1265470249 and it has been active since 17 years ago. The specialty is Hospice Care, Community Based, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Hospice Care, Community Based services, Countryside Hospice Care Inc is an excellent option. We are here to help you get the care you need.

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Overview of Countryside Hospice Care Inc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 06/03/2006
  • Last updated: 02/16/2012

Primary Scrop of Practice

  • Taxonomy Code: 251G00000X
  • Specialty: Hospice Care, Community Based
  • License Number: 146142H
  • License State: GA

Provider Mailing Address

  • Address: 101 Sun Ave Ne
    Albuquerque, NM 87109
  • Phone: 505-468-5604
  • Fax: 505-468-4681

Provider Practice Location

  • Address: 106 Pearl Dr
    Suite 107
    La Fayette, GA 30728
  • Phone: 706-638-7651
  • Fax: 706-638-7545

Authorized Official

  • Name: MR. Glen Cavallo
  • Position/Title: Sr. Vp - Operations
  • Telephone Number: 479-996-5900

Scope of Practice

  • Taxonomy Code: 251G00000X
  • Specialty: Hospice Care, Community Based
  • License Number: 146142H
  • License State: GA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 146142H
  • Identifier Type: Other
  • Identifier State: GA
  • Issuer: GEORGIA HOSPICE LICENSE

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Countryside Hospice Care Inc?
  • A: The npi number for Countryside Hospice Care Inc is 1265470249.
  • Q: What are Countryside Hospice Care Inc's specialties?
  • A: Countryside Hospice Care Inc's specialties are Hospice Care, Community Based and different specialities.
  • Q: Where is Countryside Hospice Care Inc business practice location?
  • A: Countryside Hospice Care Inc business practice location is 106 Pearl Dr, La Fayette, GA 30728.
  • Q: How to contact Countryside Hospice Care Inc?
  • A: You can contact Countryside Hospice Care Inc via 706-638-7651.
  • Q: What is the authorized official for Countryside Hospice Care Inc?
  • A: The authorized office name is MR. Glen Cavallo with position/title is Sr. Vp - Operations and you can reach the authorized official via phone number 4799965900.
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