SOLAMOR HOSPICE LAFAYETTE
NPI 1265470249
Hospice Care, Community Based in La Fayette, GA
- Organization
- Hospice Care, Community Based
About SOLAMOR HOSPICE LAFAYETTE
This page provides the complete NPI Profile along with additional information for Solamor Hospice Lafayette, a provider established in La Fayette, Georgia operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1265470249 assigned on June 2006. The practitioner's primary taxonomy code is 251G00000X with license number 146142H (GA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Solamor Hospice Lafayette. The authorized official of this NPI record is Mr. Glen Cavallo (Sr. Vp - Operations)
- NPI
- 1265470249 Verify this NPI
- Provider Legal Name
- COUNTRYSIDE HOSPICE CARE INC
- Other Organization Name
- SOLAMOR HOSPICE LAFAYETTE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 106 PEARL DR SUITE 107 LA FAYETTE, GA 30728
- Location Phone
- (706) 638-7651
- Location Fax
- (706) 638-7545
- Mailing Address
- 101 SUN AVE NE ALBUQUERQUE, NM 87109
- Mailing Phone
- (505) 468-5604
- Mailing Fax
- (505) 468-4681
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-03-2006
- Last Update Date
- 02-16-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Hospice Care, Community Based
- Taxonomy Code
- 251G00000X
- Type
- Agencies
- License No.
- 146142H
- License State
- GA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 146142H | OTHER (01) | GA | GEORGIA HOSPICE LICENSE |
| 00850044A | MEDICAID (05) | GA | |
| 111506A | MEDICARE OSCAR/CERTIFICATION (06) |
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
LA FAYETTE, GA 30728
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265470249, enumerated as an "organization" on June 03, 2006.
The provider is located at 106 PEARL DR SUITE 107 LA FAYETTE, GA 30728 and the phone number is (706) 638-7651.
Hospice Care, Community Based with taxonomy code 251G00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
