Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Countryside Hospice Care, Inc

Organization Community Based Hospice Care Agency · NPI 1013248814

Countryside Hospice Care, Inc is a Community Based Hospice Care Agency in Canton, Georgia. Licensed in Georgia. Registered with an NPI since 2010.

Licensed in
GA
In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

203 Oakside Ln Bldg 203 Ste B
Canton, GA 30114-6407
Phone: (770) 704-9982
Fax: (770) 704-2755
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Based Hospice Care Agency (primary) Taxonomy 251G00000X · Licence 028-0350-H (GA)

Record details

NPI number1013248814
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glen Cavallo — Sr. Vp - Operations · (479) 996-5900
Other names Solamor Hospice Canton
NPI enumeratedJanuary 19, 2010
Last updated in NPPESFebruary 16, 2012
Mailing address203 Oakside Ln, Building 203-B, Canton, GA 30114-6407

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