Countryside Hospice Care, Inc
NPI 1093086811 · Community Based Hospice Care Agency · Lagrange, GA
Countryside Hospice Care, Inc is a Community Based Hospice Care Agency organization in Lagrange, GA (NPI 1093086811).
Provider details
- NPI number
- 1093086811
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Glen Cavallo, Sr. Vp - Operations(479) 996-5900
- License
- 038-156H (GA)
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
Mailing address
Other names (DBA / former)
- Doing business as
- Solamor Hospice Lagrange
Registry dates
- Enumerated
- 2012-01-25
- 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 1093086811, 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 105 Corporate Plaza Dr, Lagrange, GA 30241-2801.
- What is Countryside Hospice Care, Inc's phone number?
- The practice phone number listed in the NPPES registry for Countryside Hospice Care, Inc is (706) 845-8755.
- 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 (1093086811) 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.