COUNTRYSIDE HOSPICE CARE, INC.; NPI #1295005437

Contact Information

COUNTRYSIDE HOSPICE CARE, INC.

5300 OAK TREE ROAD
SUITE B AND C
MILLBROOK, AL 36054

Phone: 334-285-5970
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Hospice Care, Community Based	251G00000X	B4[14]	Hospice

Indicates primary specialty

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NPI Profile & details for COUNTRYSIDE HOSPICE CARE, INC.

NPI # 1295005437

LBN Legal business name COUNTRYSIDE HOSPICE CARE, INC.

Authorized official MICHAEL BERG - (CORPORATE SECRETARY)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/05/2012

Last updated 01/05/2012 - About 14 years ago

Identifiers

AL	License #	01-1579PSL
AL	Medicaid	PIC1579EPSL

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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COUNTRYSIDE HOSPICE CARE, INC.

Contact Information

Specialty

Hospice Care, Community Based

NPI Profile & details for COUNTRYSIDE HOSPICE CARE, INC.

Reviews for COUNTRYSIDE HOSPICE CARE, INC.