Countryside Hospice Care Inc
NPI 1790723211 · Community Based Hospice Care Agency · Jacksonville, AL
Countryside Hospice Care Inc is a Community Based Hospice Care Agency organization in Jacksonville, AL (NPI 1790723211).
Provider details
- NPI number
- 1790723211
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Parent organization
- Solamor Hospice
- Organization subpart
- Yes
- Authorized official
- Glen Cavallo, Sr. Vp of Operations(479) 996-5900
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- Solamore Hospice Jacksonville
Registry dates
- Enumerated
- 2006-06-04
- Last updated
- 2011-08-03
Frequently asked questions
- What is Countryside Hospice Care Inc's NPI number?
- Countryside Hospice Care Inc's National Provider Identifier (NPI) is 1790723211, 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 320 Branscomb Dr Sw, Jacksonville, AL 36265.
- What is Countryside Hospice Care Inc's phone number?
- The practice phone number listed in the NPPES registry for Countryside Hospice Care Inc is (256) 235-2999.
- 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 of 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 (1790723211) is active in the NPPES registry as of the last update on 2011-08-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.