Provider Demographics
NPI:1891529756
Name:MONTROSE HOSPICE LLC
Entity type:Organization
Organization Name:MONTROSE HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:FROST
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:346-505-0160
Mailing Address - Street 1:1001 CLEVELAND ST APT 7204
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-5281
Mailing Address - Country:US
Mailing Address - Phone:346-505-0160
Mailing Address - Fax:
Practice Address - Street 1:1001 CLEVELAND ST APT 7204
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77019-5281
Practice Address - Country:US
Practice Address - Phone:346-505-0160
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-31
Last Update Date:2024-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based