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 1093086811

Countryside Hospice Care, Inc is a Community Based Hospice Care Agency in Lagrange, Georgia. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in
GA
In the registry since
2012
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

105 Corporate Plaza Dr
Lagrange, GA 30241-2801
Phone: (706) 845-8755
Fax: (706) 845-8757
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 038-156H (GA)

Record details

NPI number1093086811
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glen Cavallo — Sr. Vp - Operations · (479) 996-5900
Other names Solamor Hospice Lagrange
NPI enumeratedJanuary 25, 2012
Last updated in NPPESFebruary 16, 2012
Mailing address101 Sun Ave Ne, Albuquerque, NM 87109-4373

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