OrganizationActive
Countryside Hospice Care, Inc
NPI 1013248814 · Community Based Hospice Care Agency · Canton, GA
Countryside Hospice Care, Inc is a Community Based Hospice Care Agency organization in Canton, GA (NPI 1013248814).
Provider details
- NPI number
- 1013248814
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Glen Cavallo, Sr. Vp - Operations(479) 996-5900
- License
- 028-0350-H (GA)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
203 Oakside Ln
Building 203, Suite B
Canton, GA 30114-6407
Phone: (770) 704-9982
Fax: (770) 704-2755
Street-level locationGet directions
Mailing address
203 Oakside Ln
Canton, GA 30114-6407
Other names (DBA / former)
- Doing business as
- Solamor Hospice Canton
Registry dates
- Enumerated
- 2010-01-19
- Last updated
- 2012-02-16
Frequently asked questions
- What is Countryside Hospice Care, Inc's NPI number?
- Countryside Hospice Care, Inc's National Provider Identifier (NPI) is 1013248814, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Countryside Hospice Care, Inc?
- Countryside Hospice Care, Inc is classified in the NPPES registry as Community Based Hospice Care Agency (Agencies).
- Where is Countryside Hospice Care, Inc located?
- Countryside Hospice Care, Inc's practice location on file with NPPES is 203 Oakside Ln, Canton, GA 30114-6407.
- What is Countryside Hospice Care, Inc's phone number?
- The practice phone number listed in the NPPES registry for Countryside Hospice Care, Inc is (770) 704-9982.
- Who is the authorized official for Countryside Hospice Care, Inc?
- The authorized official listed on Countryside Hospice Care, Inc's NPPES record is Glen Cavallo, Sr. Vp - Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Countryside Hospice Care, Inc's NPI active?
- Yes — Countryside Hospice Care, Inc's NPI (1013248814) is active in the NPPES registry as of the last update on 2012-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.