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).
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 |
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 Name | Type Code |
---|---|
Green Mountain Palliative Care | Doing Business As Name - Organization |
Street Address |
210 THUNDERBIRD DR. SUITE T |
City | EL PASO |
State | TX |
Zip Code | 79912-7477 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851903801 | Cristina Valerie Quinones | Registered Nurse | 444 Executive Blvd., Suite 148, El Paso, TX 79912 | 2020-08-20 |
1528698255 | Thomas Wayne Woo Sr. | Physical Therapist | 7430 Remcon Circle Bldg A, El Paso, TX 79912 | 2020-01-22 |
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 |
1265910178 | Texas Kids Dental Care West Pa | Clinic/Center | 7480 Remcon, El Paso, TX 79912 | 2018-08-02 |
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 |
1013410802 | Maranatha Physical Medicine & Rehabilitation, Pllc | Physical Medicine & Rehabilitation | 7100 Westwind Dr Ste 155, El Paso, TX 79912 | 2018-03-17 |
Find all providers in zip 79912 |
Taxonomy Code | 251G00000X |
Grouping | Agencies |
Classification | Hospice Care, Community Based |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376171702 | Advanced Hospice of El Paso LLC | Hospice Care, Community Based | 3431 Pershing Dr Ste B1, El Paso, TX 79903-2701 | 2020-03-31 |
1295368892 | Hospice Angels | Hospice Care, Community Based | 6700 Escondido Dr Apt B3, El Paso, TX 79912-3158 | 2020-02-21 |
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 |
Find all providers in EL PASO |
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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.