GREEN MOUNTAIN HOSPICE LLC.


Address: 210 Thunderbird Dr., Suite T, El Paso, TX 79912-7477
Phone: 9155004883

GREEN MOUNTAIN HOSPICE LLC. (NPI# 1861928079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861928079
Entity Type Organization
Organization Name GREEN MOUNTAIN HOSPICE LLC.
Other Organization Name GREEN MOUNTAIN PALLIATIVE CARE
Practice Address 210 Thunderbird Dr.
Suite T
El Paso
TX 79912-7477
Practice Telephone 9155004883
Practice Fax Number 9152755510
Mailing Telephone 9155004883
Mailing Fax Number 9152755510
Enumeration Date 2017-05-08
Last Update Date 2020-04-20
Authorized Official Name MR. ROBERTO FLORES (CEO)
Authorized Official Telephone 9155004883
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207PH0002X Emergency Medicine
Specialization: Hospice and Palliative Medicine
Allopathic & Osteopathic Physicians
N 207RH0002X Internal Medicine
Specialization: Hospice and Palliative Medicine
Allopathic & Osteopathic Physicians
Y 251G00000X Hospice Care, Community Based TX Agencies

Other Provider/Organization Names

Other Name Type Code
Green Mountain Palliative Care Doing Business As Name - Organization

Office Location

Street Address 210 THUNDERBIRD DR.
SUITE T
City EL PASO
State TX
Zip Code 79912-7477

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NPI Name Taxonomy Address Enumeration
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1760030290 Susan De La Cruz Nurse Practitioner 6600 N Dessert Blvd, El Paso, TX 79912 2019-08-28
1558925438 Smiles 4 Less Orthodontics, P.a. Dentist 7480 Remcon Cir, El Paso, TX 79912 2019-04-26
1831669423 Jorge Lorenzo Soto Occupational Therapy Assistant 4700 N. Mesa St. F-4, El Paso, TX 79912 2018-11-27
1811464126 Paloma Herrera Spec/Tech, Health Info 200 N Festival, El Paso, TX 79912 2018-10-25
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1528555463 Wal-mart Stores Texas, LLC Durable Medical Equipment & Medical Supplies 7831 Paseo Del Norte Blvd, Ste A, El Paso, TX 79912 2018-04-17
1679078927 Kassandra Ashley Wright Registered Nurse 330 Bartlett Dr. Apt 2002, El Paso, TX 79912 2018-03-28
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Taxonomy Information

Taxonomy Code 251G00000X
Grouping Agencies
Classification Hospice Care, Community Based

Taxonomy Definition

Definition to come...

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1720549876 Grandview Hospice Inc Hospice Care, Community Based 4141 Pinnacle St Ste 209, El Paso, TX 79902-1042 2019-03-29
1588177331 Oxygen Hospice Inc Hospice Care, Community Based 3433 Red Sails Dr, El Paso, TX 79936-1713 2017-11-14
1457806242 Hospice Del Norte LLC Hospice Care, Community Based 11860 Vista Del Sol Dr Ste 150, El Paso, TX 79936-6128 2016-08-22
1043608169 Good Samaritan Society Hcbs-tx, LLC Hospice Care, Community Based 7304 Good Samaritan Ct Ste A, El Paso, TX 79912-1602 2014-12-23
1790013118 Just Care Home Health LLC Hospice Care, Community Based 3434 Hondo Pass Dr, El Paso, TX 79904-1015 2009-11-23
1538384029 Adl Care At Home Inc. Hospice Care, Community Based 1817 Wyoming Ave, El Paso, TX 79903-3406 2007-04-17
1063587707 Sun City Envision Healthcare Services, Inc Hospice Care, Community Based 8929 Viscount Blvd, Upper Level, El Paso, TX 79925-5827 2006-11-21
1598797201 Tenet Hospitals Limited Hospice Care, Community Based 1733 Curie Dr Ste 206, El Paso, TX 79902-2909 2006-07-06
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Competitor

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City EL PASO
Zip Code 79912

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Dataset Information

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.

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