COUNTRYSIDE HOSPICE CARE INC (NPI# 1710925227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710925227 |
| Entity Type | Organization |
| Organization Name | COUNTRYSIDE HOSPICE CARE INC |
| Other Organization Name | COUNTRYSIDE HOSPICE ROANOKE |
| Practice Address |
3355 Highway 431 Suite 3 Roanoke AL 36274-2723 |
| Mailing Address |
101 Sun Ave Ne Albuquerque NM 87109-4373 |
| Practice Telephone | 3348634984 |
| Practice Fax Number | 3348634999 |
| Mailing Telephone | 5054685604 |
| Mailing Fax Number | 5054684681 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2011-01-26 |
| Authorized Official Name | MR. GLEN CAVALLO (SR. VP - OPERATIONS) |
| Authorized Official Telephone | 4799965900 |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNTRYSIDE HOSPICE CARE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Other Name | Type Code |
|---|---|
| Countryside Hospice Roanoke | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790723211 | Countryside Hospice Care Inc | Hospice Care, Community Based | 320 Branscomb Dr Sw, Suite D, Jacksonville, AL 36265 | 2006-06-04 |
| 1275571259 | Countryside Hospice Care Inc | Hospice Care, Community Based | 955 S Three Notch St, Andalusia, AL 36420-5231 | 2006-06-03 |
| 1639117690 | Countryside Hospice Care Inc | Hospice Care, Community Based | 820 Ebenezer Church Rd, Suite 106, Sharpsburg, GA 30277-2073 | 2006-06-03 |
| 1619914082 | Countryside Hospice Care Inc | Hospice Care, Community Based | 13521 Shelby County 280, Suite 253, Birmingham, AL 35242 | 2006-06-02 |
| 1265470249 | Countryside Hospice Care Inc | Hospice Care, Community Based | 106 Pearl Dr, Suite 107, La Fayette, GA 30728-7509 | 2006-06-03 |
| Street Address |
3355 HIGHWAY 431 SUITE 3 |
| City | ROANOKE |
| State | AL |
| Zip Code | 36274-2723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326028606 | Anniston Health & Sickroom Supplies Inc | Durable Medical Equipment & Medical Supplies | 3355 Highway 431, Suite 3-b, Roanoke, AL 36274-2723 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144520446 | Eagle Drugs LLC | Pharmacy | 3705 Hwy 431, Roanoke, AL 36274 | 2010-11-02 |
| 1538498431 | Harriet Elizabeth Chappell | Nurse Practitioner | 1026 Lafayette Parkway, Roanoke, AL 36274 | 2009-12-24 |
| 1194917096 | William Robert Dixson | Pharmacist | 4108 United States Highway 431, Roanoke, AL 36274 | 2007-08-14 |
| 1841416542 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 935 Hwy 431, Suite 3, Roanoke, AL 36274 | 2007-04-18 |
| 1144322504 | Russell D Peterson | Family Medicine | 965 Us Hwy 431, Roanoke, AL 36274 | 2006-09-05 |
| 1104003987 | Randolph Medical Associates | Spec/Tech, Cardiovascular | 965 Us Hwy 431, Roanoke, AL 36274 | 2008-01-24 |
| 1497815120 | Randolph Medical Associates, PC | Family Medicine | 965 Us Hwy 431, Roanoke, AL 36274 | 2006-12-11 |
| 1417023987 | State of Alabama Department of Public Health | Home Health | 320 Main Street, Roanoke, AL 36274 | 2006-11-28 |
| 1841379617 | State of Alabama Department of Public Health | Home Health | 320 Main Street, Roanoke, AL 36274 | 2006-11-03 |
| 1568545382 | State of Alabama Department of Public Health | Home Health | 320 Main Street, Roanoke, AL 36274 | 2006-10-23 |
| Find all providers in zip 36274 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760912901 | Odyssey Healthcare Operating B, Lp | Hospice Care, Community Based | 1318 Plantation Rd Ne, Roanoke, VA 24012 | 2017-06-19 |
| 1487104428 | Intrepid of Piedmont Ridge, Inc. | Hospice Care, Community Based | 4005 Electric Rd Ste 200, Roanoke, VA 24018-8435 | 2016-10-13 |
| 1205119542 | Cinta Healthcare LLC | Hospice Care, Community Based | 3241 Electric Rd Bldg D, Roanoke, VA 24018-6405 | 2011-09-22 |
| 1902848443 | Southerncare, Inc. | Hospice Care, Community Based | 5330 Peters Creek Road Nw, Suite D-1, Roanoke, VA 24019-3853 | 2006-06-11 |
| 1104879881 | Medi Home Health Agency, Inc | Hospice Care, Community Based | 4419 Pheasant Ridge Rd Ste 201, Roanoke, VA 24014-5282 | 2006-05-17 |
| 1174581466 | Adventa Hospice, LLC | Hospice Care, Community Based | 5221 Valleypark Dr, Suite 2, Roanoke, VA 24019-3004 | 2006-05-03 |
| 1346208337 | Gentle Shepherd Hospice Inc. | Hospice Care, Community Based | 6045 Peters Creek Rd, Roanoke, VA 24019-4029 | 2006-05-02 |
| 1104882778 | Faith Homecare, Inc. | Hospice Care, Community Based | 60008 Highway 22, Roanoke, AL 36274-2419 | 2006-04-24 |
| 1477546844 | Carilion Medical Center | Hospice Care, Community Based | 1917 Franklin Rd Sw, Suite B, Roanoke, VA 24014-1103 | 2005-08-31 |
| 1548268923 | Good Samaritan Hospice, Inc. | Hospice Care, Community Based | 2408 Electric Rd, Roanoke, VA 24018-3523 | 2005-07-11 |
| Find all providers in ROANOKE | ||||
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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.