Profound Hospice Care, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PROFOUND HOSPICE CARE, LLC

Practice address

1309 Red Stag PL Ste 1
Round Rock, TX 78665-1359

Phone

(734) 604-7160

NPI assigned

Jun 17, 2024

Organization subpart

No

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

Authorized official

Name

Patrick Ayeni

Title

Administrator

Phone

(734) 604-7160

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN A91766

Legal name

PROFOUND HOSPICE CARE, LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 16, 2025

Last certification

Jun 4, 2025

Ownership / control type

Proprietary - Partnership

Organization structure

LLCProprietary

Enrollment address

1309 Red Stag PL
Ste 1
Round Rock, TX 78665-1359

Listed as

Profound Hospice Care, LLCCCN A91766

Certified

Jun 16, 2025

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 3

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 1

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

• Olutola O. Adetona, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • San Antonio, TX
  • NPI 1164688966

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Yun Woong Kim, M.D., P.A.

  • Family Medicine Physician
  • Austin, TX
  • NPI 1730404138

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1750124822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 RED STAG PL STE 1",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651359",
            "telephone_number": "734-604-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 RED STAG PL STE 1",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651359",
            "telephone_number": "734-604-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFOUND HOSPICE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "AYENI",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "734-604-7160"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyza Privott - Spencer, RBT
• Joel Prochet Sr.
• Kiersten Light Prochnow, LPC
• Carrie Ann Proctor, LPC
• Professional Massage Associates PLLC
• Progressive Life, LTD
• Donna Marie Prokop-Fettig, P.A.-C
• Courtney Pruitt
• Alexis Claris Pruneda, LPC-A
• Madison Ashley Pryor, PA-C

• Community Based Hospice Care Agency in Round Rock, TX
• Providers in Round Rock, 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 3, 2026; 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.