Solamore Hospice Jacksonville

LBN: Countryside Hospice Care Inc
Solamore Hospice Jacksonville is an health care organization with primary practice located at 320 Branscomb Dr Sw Suite D, Jacksonville AL 36265. 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) 235-2999, or through Cavallo, Glen via phone (479) 996-5900.

Contact Information

Primary practice address
320 Branscomb Dr Sw Suite D Jacksonville AL 36265
Phone: (256) 235-2999
Fax: (256) 782-3590
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

Profile Details

NPI number 1790723211
LBN Legal business name Countryside Hospice Care Inc
DBA Doing business as Solamore Hospice Jacksonville
Authorized official Cavallo, Glen
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 4th, 2006
Last updated Aug 3rd, 2011 - 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 1790723211 NPPES
Alabama MEDICAID PIC1579E

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