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

Countryside Hospice Care Inc

Community Based Hospice Care Agency in Jacksonville, AL · enumerated 2006 · authorized official Glen Cavallo, Sr. Vp of Operations.

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

National Provider Identifier

1790723211

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Countryside Hospice Care Inc
Other name <Unavail>
Parent organization Solamor Hospice
Practice address 320 Branscomb Dr Sw, Suite D, Jacksonville, AL, 36265
Phone (256) 235-2999
Fax (256) 782-3590
Enumeration date Jun 4, 2006
Last updated in NPPES Aug 3, 2011

Taxonomy & classification

251G00000X Community Based Hospice Care Agency Agencies Primary

Authorized official

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

Other identifiers

Identifier Type State Issuer
PIC1579E 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.

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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 2011-08-03.