COUNTRYSIDE HOSPICE CARE, INC. (NPI# 1295005437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295005437 |
| Entity Type | Organization |
| Organization Name | COUNTRYSIDE HOSPICE CARE, INC. |
| Other Organization Name | COUNTRYSIDE HOSPICE-PRATTVILLE |
| Practice Address |
5300 Oak Tree Road Suite B and C Millbrook AL 36054 |
| Mailing Address |
18831 Von Karman Blvd. Suite 400 Irvine CA 92612-1533 |
| Practice Telephone | 3342855970 |
| Mailing Telephone | 9492557129 |
| Mailing Fax Number | 5054689250 |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2012-01-05 |
| Authorized Official Name | MICHAEL T. BERG (CORPORATE SECRETARY) |
| Authorized Official Telephone | 5058213355 |
| Authorized Official Credential | J.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 01-1579PSL | AL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | PIC1579EPSL | 05 |
| Other Name | Type Code |
|---|---|
| Countryside Hospice-Prattville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508136862 | Countryside Hospice Care, Inc. | Hospice Care, Community Based | 801 Church Street Ne, Suites 6 and 7, Decatur, GA 35601-2400 | 2012-01-04 |
| Street Address |
5300 OAK TREE ROAD SUITE B AND C |
| City | MILLBROOK |
| State | AL |
| Zip Code | 36054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659991735 | Deandrea Jamith | Counselor | 98 Mountain View Ct, Millbrook, AL 36054 | 2020-04-20 |
| 1205341005 | Rural Urgent Care LLC | Clinic/Center | 1401 Al Hwy 14, Millbrook, AL 36054 | 2017-12-04 |
| 1023415254 | Alabama Dental Professionals, PC | Dentist | 4210 Alabama Highway, Millbrook, AL 36054 | 2014-12-03 |
| 1225178031 | Marla H. Wohlman | Family Medicine | 3351 Main Street, Millbrook, AL 36054 | 2007-02-08 |
| 1043362734 | Physical Express | Family Medicine | 4081 Alabama Hwy 14, Millbrook, AL 36054 | 2007-01-16 |
| 1558435693 | James Claude Lowman IIi | Dentist | 720 Monument Drive, Millbrook, AL 36054 | 2006-11-20 |
| 1285707737 | City of Millbrook | Ambulance | 3820 Grandview Road, Millbrook, AL 36054 | 2006-11-15 |
| 1861570319 | Spring View Drugs, Inc. | Pharmacy | 4810 Main Street, Millbrook, AL 36054 | 2006-11-01 |
| 1912083031 | Kenneth Lee Jones | Chiropractor | 2588 Main Street, Millbrook, AL 36054 | 2006-10-31 |
| 1912081100 | Autauga-elmore Mental Retardation Board, Inc. | Case Management | 3750 Coosada Rd., Millbrook, AL 36054 | 2006-10-24 |
| Find all providers in zip 36054 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093340119 | Five Points Healthcare of Alabama, LLC | Hospice Care, Community Based | 100 Concourse Pkwy Ste 320, Hoover, AL 35244-1857 | 2020-03-09 |
| 1235789900 | Affinity Acquisitions Georgia LLC | Hospice Care, Community Based | 135 Gemini Cir Ste 202, Birmingham, AL 35209-5842 | 2019-09-16 |
| 1609337229 | Encompass Health Hospice of Alabama, LLC | Hospice Care, Community Based | 2400 John Hawkins Pkwy Ste 104b, Hoover, AL 35244-3500 | 2019-03-27 |
| 1124596267 | Encompass Health Hospice of Talladega, LLC | Hospice Care, Community Based | 650 Stone Avenue, Talladega, AL 35160-2217 | 2018-11-07 |
| 1801389150 | Healing Hearts II Hhc | Hospice Care, Community Based | 2420 Morgan Rd, Bessemer, AL 35022-5017 | 2018-06-12 |
| 1053856591 | Camellia Hospice of South Alabama, LLC | Hospice Care, Community Based | 1807 Station Dr Ste B, Prattville, AL 36066 | 2016-12-19 |
| 1134663537 | Compassus Op of Alabama LLC | Hospice Care, Community Based | 1400 Urban Center Dr Ste 100, Vestavia, AL 35242 | 2016-12-05 |
| 1104271857 | Prohealth Hospice-gadsden, LLC | Hospice Care, Community Based | 1115b Rainbow Drive, Gadsden, AL 35901 | 2016-05-02 |
| 1831556372 | Lhcg Lxxix, LLC | Hospice Care, Community Based | 111 E Laurel St, Scottsboro, AL 35768-1801 | 2016-01-27 |
| 1205209509 | Comfort Care Coastal Hospice, LLC | Hospice Care, Community Based | 22502 U.S. Highway 98, Fairhope, AL 36532 | 2015-11-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.