NPI age
19 years
Enumerated 2006-06-03
● 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
Cavallo
SR. Vp - Operations
Last NPPES update
2012-02-16
Source: monthly bulk 2026-05
How this organization compares
Across 591 active hospice care, community based providers in Georgia.
NPI age
19 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
820 Ebenezer Church Rd, Suite 106
Sharpsburg, GA 302772073
Mailing address
101 Sun Ave Ne
Albuquerque, NM 871094373
Authorized official
Glen Cavallo
SR. Vp - Operations
📞 4799965900
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Julie Evans, LPC Counselor NPI 1154690345
- Glenn Howell, D.C. Chiropractor NPI 1669691846
- Thomas Humber, D.C. Chiropractor NPI 1396964565
- Travis Humber, D.C Chiropractor NPI 1245697333
- Thomas Kirk, D.C. Chiropractor NPI 1740407584
Specialties
-
Hospice Care, Community Based PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00894132A | |
| 01 (GA) | 038156H | GEORGIA HOSPICE LICENSE |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
SolAmor Hospice Sharpsburg
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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