GREEN MOUNTAIN HEALTHCARE SERVICES LLC – NPI #1053046623
Family Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Health Care Provider Taxonomy Code for Family Medicine

GREEN MOUNTAIN HEALTHCARE SERVICES LLC is a provider located in EL PASO, TX. NPPES has assigned the NPI number 1053046623 to GREEN MOUNTAIN HEALTHCARE SERVICES LLC on July 19, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QG0300X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Geriatric Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GREEN MOUNTAIN HEALTHCARE SERVICES LLC below.

NPI Profile for
GREEN MOUNTAIN HEALTHCARE SERVICES LLC

NPI Number
1053046623
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GREEN MOUNTAIN HEALTHCARE SERVICES LLC
Primary location
2311 N MESA ST STE H
EL PASO, TX 79902-3575
Phone: (915) 500-4883 Fax: (915) 275-5510
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ROBERTO FLORES
ADMINISTRATOR/OWNER
Phone: (915) 276-0865
Updated
Certification Date
Jul 19, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QG0300X
- Family Medicine / Geriatric Medicine (Primary)
207RH0002X
- Internal Medicine / Hospice and Palliative Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.