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SOLAMORE HOSPICE JACKSONVILLE
NPI 1790723211
Hospice Care, Community Based in Jacksonville, AL

Active since June 04, 2006
320 BRANSCOMB DR SW, SUITE D, JACKSONVILLE, AL 36265(256) 235-2999(256) 782-3590 Get Directions Write a Review

NPPES record last updated: August 3, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Solamore Hospice Jacksonville NPPES

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

SOLAMORE HOSPICE JACKSONVILLE (NPI 1790723211) is a healthcare organization registered as a hospice care, community based in Jacksonville, Alabama and active in the NPI registry since June 2006. The organization lists Glen Cavallo, Sr. Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1790723211
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameCOUNTRYSIDE HOSPICE CARE INC
Location Address320 BRANSCOMB DR SW, SUITE DJacksonville, AL 36265
Mailing Address101 Sun Ave NeAlbuquerque, NM 87109-4373 · (505) 468-5604 · Fax (505) 468-4681
Phone(256) 235-2999
Fax(256) 782-3590
Organization SubpartYesParent: Solamor Hospice
Authorized OfficialGlen CavalloSr. Vp Of Operations · (479) 996-5900
Enumeration DateJune 4, 2006
Last NPPES UpdateAugust 3, 2011
✔ NPI 1790723211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
320 BRANSCOMB DR SW, Jacksonville, AL 36265
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Other Names 1

Doing Business AsSolamore Hospice Jacksonville

Other Identifiers 2

Medicare ID-Type Unspecified011579AL
MedicaidPIC1579EAL

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 1790723211. It was assigned to this organization in the NPPES registry on June 4, 2006. The provider is doing business as Solamore Hospice Jacksonville.

Where is Countryside Hospice Care Inc located?

Countryside Hospice Care Inc is located at 320 Branscomb Dr SW Suite D, Jacksonville, AL 36265. The listed phone number is (256) 235-2999.

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 August 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.