1. Home
  2. Directory
  3. Georgia
  4. La Fayette
  5. Hospice Care Community Based
  6. NPI Profile

SOLAMOR HOSPICE LAFAYETTE
NPI 1265470249
Hospice Care, Community Based in La Fayette, GA

Active since June 03, 2006
106 PEARL DR, SUITE 107, LA FAYETTE, GA 30728(706) 638-7651(706) 638-7545 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 Lafayette NPPES

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

SOLAMOR HOSPICE LAFAYETTE (NPI 1265470249) is a healthcare organization registered as a hospice care, community based in La Fayette, Georgia and active in the NPI registry since June 2006. The organization lists Glen Cavallo, Sr. Vp - Operations, as its authorized official.

NPPES Registry Identity

NPI1265470249
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameCOUNTRYSIDE HOSPICE CARE INC
Location Address106 PEARL DR, SUITE 107La Fayette, GA 30728-7509
Mailing Address101 Sun Ave NeAlbuquerque, NM 87109-4373 · (505) 468-5604 · Fax (505) 468-4681
Phone(706) 638-7651
Fax(706) 638-7545
Organization SubpartYes
Authorized OfficialGlen CavalloSr. Vp - Operations · (479) 996-5900
Enumeration DateJune 3, 2006
Last NPPES UpdateFebruary 16, 2012
✔ NPI 1265470249 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 · 146142H
106 PEARL DR, La Fayette, GA 30728
Open in Google Maps ↗

Other Names 1

Doing Business AsSolamor Hospice Lafayette

Other Identifiers 3

Other146142HGA · Georgia Hospice License
Medicaid00850044AGA
Medicare OSCAR/certification111506A

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL ANTHONY TRAMMELL PTA
Physical Therapy Assistant
106 PEARL DR, SUITE 104
LA FAYETTE, GA 30728
Walker County (770) 748-0309
MATTHEW SAMUEL GREGORY PT
Physical Therapist
106 PEARL DR, SUITE 104
LA FAYETTE, GA 30728
Walker County (706) 638-3880
LAUREN TAYLOR SHANK DPT
Physical Therapist
106 PEARL DR, SUITE 104
LA FAYETTE, GA 30728
Walker County (706) 638-3880
JENSEN HACKETT WAGES DPT
Physical Therapist
106 PEARL DR, SUITE 104
LA FAYETTE, GA 30728
Walker County (706) 638-3880
PERFORMANCE PHYSICAL THERAPY & SPORTS MEDICINE INC
Physical Therapist
106 PEARL DR, SUITE 104
LA FAYETTE, GA 30728
Walker County (706) 638-3880
VIRGINIA BALDWIN KOHL
Physical Therapy Assistant
106 PEARL DR, SUITE 104
LA FAYETTE, GA 30728
Walker County (706) 638-3880

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 1265470249. It was assigned to this organization in the NPPES registry on June 3, 2006. The provider is doing business as Solamor Hospice Lafayette.

Where is Countryside Hospice Care Inc located?

Countryside Hospice Care Inc is located at 106 Pearl Dr Suite 107, La Fayette, GA 30728. The listed phone number is (706) 638-7651.

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.