NPI age
14 years
Enumerated 2012-01-04
● Active Type 2 · Organization
Countryside Hospice Care, Inc.
Countryside Hospice Care, Inc. is 1 of 591 hospice care, community based organizations in Georgia.
Primary specialty
Hospice Care, Community Based
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Berg
Corporate Secretary
Last NPPES update
2012-01-04
Source: monthly bulk 2026-05
How this organization compares
Across 591 active hospice care, community based providers in Georgia.
NPI age
14 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-01Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
801 Church Street Ne, Suites 6 And 7
Decatur, GA 356012400
Mailing address
18831 Von Karman Blvd., Suite 400
Irvine, CA 926121533
Authorized official
Michael T. Berg, J.D.
Corporate Secretary
📞 5058213355
Specialties
-
Hospice Care, Community Based PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (AL) | PIC1579EPSL |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Countryside Hospice-Decatur
Practice context
Single-site organization. Only one practice location on file.
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