Solamor Hospice Stockbridge

LBN: Countryside Hospice Care, Inc
Solamor Hospice Stockbridge is an health care organization with primary practice located at 245 Country Club Dr Bldg. 300A, Stockbridge GA 30281-9080. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. Countryside Hospice Care, Inc can be contacted via phone (256) 231-9190, or through Cavallo, Glen via phone (479) 996-5900.

Contact Information

Primary practice address
245 Country Club Dr Bldg. 300A Stockbridge GA 30281-9080
Phone: (256) 231-9190
Fax: (256) 231-2350
Website:
Map and Directions
Authorized official contact:
Name: Cavallo, Glen
Phone: (479) 996-5900

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 038156H Georgia

Profile Details

NPI number 1487950234
LBN Legal business name Countryside Hospice Care, Inc
DBA Doing business as Solamor Hospice Stockbridge
Authorized official Cavallo, Glen
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2011
Last updated Feb 16th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487950234 NPPES
Georgia Other 038156H GEORGIA HOSPICE LICENSE
Georgia MEDICAID 000894132A GEORGIA HOSPICE LICENSE

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