Monticello Hospice LLC

Primary specialty

Hospice Registered NurseTaxonomy code 163WH1000X

License

HPC105 Issued in SC

Legal business name

MONTICELLO HOSPICE LLC

Doing business as

Monticello Hospice

Practice address

4720 Hwy 17 Bypass South
Suite F
Myrtle Beach, SC 29577

Phone

(843) 293-6132

Fax

(843) 293-6133

NPI assigned

Aug 3, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert Tucker Reed

Title

Cheif Operating Officer

Phone

(910) 273-5550

Specialties & licenses 1

Addresses

Other names 1

• Monticello Hospice Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497763064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N ELM ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283585556",
            "telephone_number": "910-345-0030",
            "fax_number": "910-345-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 HWY 17 BYPASS SOUTH",
            "address_2": "SUITE F",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29577",
            "telephone_number": "843-293-6132",
            "fax_number": "843-293-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTICELLO HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "TUCKER",
        "authorized_official_title_or_position": "CHEIF OPERATING OFFICER",
        "authorized_official_telephone_number": "910-273-5550"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Hospice",
            "state": "SC",
            "license": "HPC105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monticello Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zamarit Montes, CRNA
• Brandi Leigh Montgomery, PHARMD
• Caitlin Montgomery, CCC-SLP
• James Calvin Montgomery, MD
• Kevin Maxwell Montgomery, DO
• Abby Nicole Moore, M.A., CF-SLP
• Bailey Moore, RBT
• Christopher John Moore
• Janice Moore, FNP
• Kristin Emily Moore, MD

• Hospice Registered Nurse in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Hospice Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.