Home Connect Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HOME CONNECT HOSPICE LLC

Practice address

200 Brown Rd Ste 106
Fremont, CA 94539-7956

Phone

(831) 737-3133

NPI assigned

Mar 1, 2019

Organization subpart

No

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

Authorized official

Name

David Rodriguez

Title

Manager

Phone

(831) 747-0693

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B31757

Legal name

HOME CONNECT HOSPICE, LLC.

Doing business as

VALOR HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 9, 2022

Last certification

Feb 9, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Jan 28, 2019 in CA

Enrollment address

200 Brown Rd
Ste 106
Fremont, CA 94539-7956

Listed as

Home Connect Hospice, LLCCCN B31757

Certified

Feb 9, 2022

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

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 1

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

• Vivek Rudrapatna, M.D.

  • Internal Medicine Physician
  • Salinas, CA
  • NPI 1740477074

  Contracted Managing Employee

  CMS ownership

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Wondrous Love Hospice Care LLC

  • Community Based Hospice Care Agency
  • Anaheim, CA
  • NPI 1598312928

  Valor SE LLC

  CMS ownership

Affiliated clinicians 3

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

• Daniel Iancu

  • Hospitalist Physician
  • Monterey, CA
  • NPI 1265010615

  Hospice

  Care Compare affiliation
• Shahid Nadeem Khan, MD

  • Family Medicine Physician
  • Gilroy, CA
  • NPI 1629156203

  Hospice

  Care Compare affiliation
• Vivek Rudrapatna, M.D.

  • Internal Medicine Physician
  • Salinas, CA
  • NPI 1740477074

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1982161550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BROWN RD STE 106",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945397956",
            "telephone_number": "831-747-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BROWN RD STE 106",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945397956",
            "telephone_number": "831-737-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CONNECT HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-01",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "831-747-0693"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Karen Holleman, RN NP
• Tina F. Holliday, MFT
• Jerome Taijay Holloway
• Frederick G. Hom, MD
• Michael Hom, PA-C
• Home Health Care Provider Inc.
• Lee-El Hon
• Catalina Hong
• Chloe Hong
• Jenna Hong, LMFT

• Community Based Hospice Care Agency in Fremont, CA
• Providers in Fremont, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.