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COUNTRYSIDE HOSPICE-DECATUR
NPI 1508136862
Hospice Care, Community Based in Decatur, GA

Active since January 04, 2012
801 CHURCH STREET NE, SUITES 6 AND 7, DECATUR, GA 35601(256) 432-2718 Get Directions Write a Review

NPPES record last updated: January 4, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Countryside Hospice-decatur NPPES

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

COUNTRYSIDE HOSPICE-DECATUR (NPI 1508136862) is a healthcare organization registered as a hospice care, community based in Decatur, Georgia and active in the NPI registry since January 2012. The organization lists Michael T. Berg, Corporate Secretary, as its authorized official.

NPPES Registry Identity

NPI1508136862
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameCOUNTRYSIDE HOSPICE CARE, INC.
Location Address801 CHURCH STREET NE, SUITES 6 AND 7Decatur, GA 35601-2400
Mailing Address18831 Von Karman Blvd., Suite 400Irvine, CA 92612-1533 · (949) 255-7129 · Fax (505) 468-9250
Phone(256) 432-2718
Organization SubpartNo
Authorized OfficialMichael T. BergCorporate Secretary · (505) 821-3355
Enumeration DateJanuary 4, 2012
✔ NPI 1508136862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
License✔ Licensed in AL · 01-1579PSL
801 CHURCH STREET NE, Decatur, GA 35601
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Other Names 1

Doing Business AsCountryside Hospice-decatur

Other Identifiers 1

MedicaidPIC1579EPSLAL

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 1508136862. It was assigned to this organization in the NPPES registry on January 4, 2012. The provider is doing business as Countryside Hospice-Decatur.

Where is Countryside Hospice Care, Inc. located?

Countryside Hospice Care, Inc. is located at 801 Church Street NE Suites 6 And 7, Decatur, GA 35601. The listed phone number is (256) 432-2718.

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 January 4, 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.