NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Countryside Hospice Care Inc

Community Based Hospice Care Agency in Andalusia, AL · enumerated 2006 · authorized official Nancy Jakus, President Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1275571259

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Countryside Hospice Care Inc
Parent organization Countryside Hospice Care Inc
Practice address 955 S Three Notch St, Andalusia, AL, 36420
Phone (334) 222-7048
Fax (334) 427-7246
Enumeration date Jun 3, 2006
Last updated in NPPES May 20, 2008

Taxonomy & classification

251G00000X Community Based Hospice Care Agency Agencies · License 11636 (AL) Primary

Authorized official

Name Nancy Jakus
Title President Ceo
Phone (256) 231-9190

Other identifiers

Identifier Type State Issuer
11636 Other AL ALABAMA HOSPICE LICENSE
PIC1547E Medicaid AL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Countryside Hospice Care Inc?
Countryside Hospice Care Inc is registered in NPPES as a Community Based Hospice Care Agency (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-05-20.