Countryside Hospice Care, Inc
NPI 1093086811ActiveOrganization· Hospice Care, Community Based· Lagrange, GA
Hospice Care, Community Based in Lagrange, Georgia, registered in NPPES in January 2012. The authorized official on file is Glen Cavallo, Sr. Vp - Operations.
Overview
| NPI | 1093086811 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 25, 2012 |
| Last updated in NPPES | Feb 16, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Hospice Care, Community Based Primary | 251G00000X | 038-156H | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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