Green Mountain Healthcare Services LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GREEN MOUNTAIN HEALTHCARE SERVICES LLC

Practice address

2311 N Mesa St Ste H
El Paso, TX 79902-3575

Phone

(915) 500-4883

Fax

(915) 275-5510

NPI assigned

May 8, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Roberto Flores

Title

Ceo

Phone

(915) 500-4883

Specialties & licenses 5

Addresses

Other names 1

• Green Mountain Palliative Care Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 741749

Legal name

GREEN MOUNTAIN HEALTHCARE SERVICES LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 10, 2018

Last certification

Jul 28, 2021

Ownership / control type

Proprietary - Other

Organization structure

LLCProprietary

Incorporated

Mar 23, 2017 in TX

Enrollment address

2311 N Mesa St
Ste H
El Paso, TX 79902-3575

Listed as

Green Mountain Healthcare Services LLCCCN 741749

Ownership

For-Profit

Certified

Sep 10, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Maanit Kohli, M.D

  • Geriatric Medicine (Internal Medicine) Physician
  • El Paso, TX
  • NPI 1669856670

  Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Nahid Vandshekari, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • El Paso, TX
  • NPI 1982660759

  5% Or Greater Direct Ownership Interest, W-2 Managing Employee

  CMS ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Maanit Kohli, M.D

  • Geriatric Medicine (Internal Medicine) Physician
  • El Paso, TX
  • NPI 1669856670

  Hospice

  Care Compare affiliation
• Nahid Vandshekari, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • El Paso, TX
  • NPI 1982660759
  Care Compare affiliation

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

{
    "created_epoch": "1494201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1861928079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 N MESA ST STE H",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023575",
            "telephone_number": "915-500-4883",
            "fax_number": "915-275-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 N MESA ST STE H",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023575",
            "telephone_number": "915-500-4883",
            "fax_number": "915-275-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN MOUNTAIN HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-08",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "915-500-4883",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207PH0002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Mountain Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Green Mountain Visiting Physicians and Associates
• Amanda Joy Green
• Ese P Green, CRNA
• Herman Green, LPC
• Kristi Ladawn Green, MSN, RN

• Community Based Hospice Care Agency in El Paso, TX
• Providers in El Paso, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.