NPIMap

Organization Active NPI

Valir Hospice Care, LLC

  • Community Based Hospice Care Agency
  • Oklahoma City, OK
National Provider Identifier
1871685503
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
4209 Issued in OK
Legal business name
VALIR HOSPICE CARE, LLC
Practice address
800 NW 6TH St
Oklahoma City, OK 73106-7241
Phone
(405) 609-3636
Fax
(405) 609-3698
NPI assigned
Sep 29, 2006
Last updated
Nov 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Authorized official

Name
Brad Yazell
Title
President
Phone
(417) 300-5223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 4209 OK Primary

Addresses

Primary practice location

800 NW 6TH St
Oklahoma City, OK 73106-7241

Mailing address

700 NW 7TH St
Oklahoma City, OK 73102-1212
Phone (405) 666-4781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040722000171 OK Part A Provider - Hospice 3072593920 Practice locations: Oklahoma City, OK
O20170308002620 OK Part B Supplier - Clinic/Group Practice 3072593920 Receives reassigned benefits from 2 practitioners
Practice locations: Oklahoma City, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871685503. Details of each certification follow.

Hospice certification: CCN 371653

Legal name
VALIR HOSPICE CARE, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 30, 2004
Last certification
Jul 29, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Mar 16, 2004 in OK
Enrollment address
800 NW 6TH St
Oklahoma City, OK 73106-7241

Care Compare: Hospice

Medicare Care Compare
Listed as
Valir Hospice Care, LLCCCN 371653 · All quality measures
Ownership
Other
Certified
Dec 30, 2004
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

713 Steele Ave
Chandler, OK 74834
Phone (888) 898-2080

721 NW 6th St
Ste 202
Oklahoma City, OK 73102

800 NW 6th St
Oklahoma City, OK 73106
Phone (405) 609-3636

825 N Broadway Ave
Ste 210
Oklahoma City, OK 73102
Phone (405) 609-3636

921 NW 63rd St
Ste 300
Oklahoma City, OK 73116
Phone (405) 879-2080

Ownership & related parties

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.

NameRoleSinceShare
Dirk O'Hara Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023
Christopher "Kitt" J Wakeley Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023
Brad Yazell Individual W-2 Managing Employee May 22, 2023
Sittichoti Bunnag Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023
Jon P Jiles Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

Affiliated clinicians 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1871685503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NW 7TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021212",
            "telephone_number": "405-666-4781",
            "fax_number": "866-466-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 NW 6TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731067241",
            "telephone_number": "405-609-3636",
            "fax_number": "405-609-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALIR HOSPICE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "YAZELL",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-300-5223"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OK",
            "license": "4209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.