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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: July 19, 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

What is COUNTRYSIDE HOSPICE CARE, INC's NPI number?

The NPI number assigned to this healthcare provider is 1093086811, enumerated as an "organization" on January 25, 2012.

Where is the provider located?

The provider is located at 105 CORPORATE PLAZA DR LAGRANGE, GA 30241 and the phone number is (706) 845-8755.

What is the provider's specialty?

Hospice Care, Community Based with taxonomy code 251G00000X.

What insurance does COUNTRYSIDE HOSPICE CARE, INC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.