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SOLAMOR HOSPICE LAGRANGE
NPI 1093086811
Hospice Care, Community Based in Lagrange, GA

Active since January 25, 2012
105 CORPORATE PLAZA DR, LAGRANGE, GA 30241(706) 845-8755(706) 845-8757 Get Directions Write a Review

NPPES record last updated: February 16, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Solamor Hospice Lagrange NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOLAMOR HOSPICE LAGRANGE (NPI 1093086811) is a healthcare organization registered as a hospice care, community based in Lagrange, Georgia and active in the NPI registry since January 2012. The organization lists Glen Cavallo, Sr. Vp - Operations, as its authorized official.

NPPES Registry Identity

NPI1093086811
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameCOUNTRYSIDE HOSPICE CARE, INC
Location Address105 CORPORATE PLAZA DRLagrange, GA 30241-2801
Mailing Address101 Sun Ave NeAlbuquerque, NM 87109-4373 · (505) 468-4681
Phone(706) 845-8755
Fax(706) 845-8757
Organization SubpartNo
Authorized OfficialGlen CavalloSr. Vp - Operations · (479) 996-5900
Enumeration DateJanuary 25, 2012
Last NPPES UpdateFebruary 16, 2012
✔ NPI 1093086811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
License✔ Licensed in GA · 038-156H
105 CORPORATE PLAZA DR, Lagrange, GA 30241
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Other Names 1

Doing Business AsSolamor Hospice Lagrange

Other Identifiers 1

Medicare UPIN111591GA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Countryside Hospice Care, Inc's NPI number?

The NPI number for Countryside Hospice Care, Inc is 1093086811. It was assigned to this organization in the NPPES registry on January 25, 2012. The provider is doing business as Solamor Hospice Lagrange.

Where is Countryside Hospice Care, Inc located?

Countryside Hospice Care, Inc is located at 105 Corporate Plaza Dr, Lagrange, GA 30241. The listed phone number is (706) 845-8755.

What is Countryside Hospice Care, Inc's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

When was this NPI record last updated?

The NPPES record for Countryside Hospice Care, Inc was last updated on February 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.