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Countryside Hospice Care Inc

Community Based Hospice Care Agency in Sharpsburg, GA · enumerated 2006 · authorized official Glen Cavallo, Sr. Vp - Operations.

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

National Provider Identifier

1639117690

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Registry record

Entity type Organization (Type 2)
Legal business name Countryside Hospice Care Inc
Other name <Unavail>
Practice address 820 Ebenezer Church Rd, Suite 106, Sharpsburg, GA, 30277
Phone (770) 252-4999
Fax (770) 252-4743
Enumeration date Jun 3, 2006
Last updated in NPPES Feb 16, 2012

Taxonomy & classification

251G00000X Community Based Hospice Care Agency Agencies · License 038156H (GA) Primary

Authorized official

Name Glen Cavallo
Title Sr. Vp - Operations
Phone (479) 996-5900

Other identifiers

Identifier Type State Issuer
00894132A Medicaid GA -
038156H Other GA GEORGIA HOSPICE LICENSE

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.

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Frequently asked questions

What is the NPI number for Countryside Hospice Care Inc?
The NPI for Countryside Hospice Care Inc is 1639117690, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Countryside Hospice Care Inc?
NPPES lists Glen Cavallo (Sr. Vp - Operations) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-02-16.