COUNTRYSIDE HOSPICE CARE INC NPI 1619914082

NPI Information

NPI: 1619914082
Provider Name: COUNTRYSIDE HOSPICE CARE INC

Doing Business As: COUNTRYSIDE HOSPICE BIRMINGHAM

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
13521 SHELBY COUNTY 280
SUITE 253
BIRMINGHAM, AL
ZIP 35242
Phone: (205) 991-9091
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COUNTRYSIDE HOSPICE CARE INC is a hospice care community based in Birmingham, AL. COUNTRYSIDE HOSPICE CARE INC NPI is 1619914082. The provider is registered as an organization entity type.
The provider Is Doing Business As Countryside Hospice Birmingham.

The provider's business location address is:

13521 SHELBY COUNTY 280
SUITE 253
BIRMINGHAM, AL
ZIP 35242
Phone: (205) 991-9091

The provider's authorized official is Glen Cavallo .
The authorized official title is Sr. Vp - Operations and has the following contact phone number (479) 996-5900.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 1/28/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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