Organization Active NPI

Valerian Home Health and Hospice LLC

Doing business as Valerian Hospice

  • Community Based Hospice Care Agency
  • Round Rock, TX
National Provider Identifier
1992139893
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
017276 Issued in TX
Legal business name
VALERIAN HOME HEALTH AND HOSPICE LLC
Doing business as
Valerian Hospice
Practice address
4701 Campus Village Dr
Round Rock, TX 78665-1122
Phone
(512) 248-2222
NPI assigned
Aug 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Authorized official

Name
Paul Denucci
Title
Manager
Phone
(512) 335-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 017276 TX Primary

Addresses

Primary practice location

4701 Campus Village Dr
Round Rock, TX 78665-1122

Mailing address

8310 N Capital of Texas Hwy Ste 275
Austin, TX 78731-1026
Phone (512) 335-0600

Other names 1

  • Valerian Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140211001543 TX Part A Provider - Hospice 3072742295 1 other NPI on this enrollment
Practice locations: Round Rock, TX

Hospice certification: CCN 741521

Legal name
VALERIAN HOME HEALTH AND HOSPICE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 28, 2014
Last certification
Aug 26, 2020
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Enrollment address
4701 Campus Village Dr
Round Rock, TX 78665-1122

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospice

Medicare Care Compare
Listed as
Valerian Home Health and HospiceCCN 741521 · All quality measures
Ownership
For-Profit
Certified
Jul 28, 2014
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

8310 N Capital of Texas Hwy
Ste 275
Austin, TX 78731

4701 Campus Village Dr
Round Rock, TX 78665
Phone (512) 248-0016

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
Valerian Home Health and Hospice LLC Organization, Austin, TX LLC 5% Or Greater Direct Ownership Interest Jun 27, 2013
Limited Partnership Interest Jun 27, 2013 100%
Paul Denucci Individual Limited Partnership Interest Jun 27, 2013 50%
Theodore Wittek Individual Corporate DirectorDirector Jan 23, 2017 100%
Operational/Managerial ControlDirector Jan 23, 2017 100%
OtherAdministrator Jan 23, 2017
Douglas Kadison Individual Limited Partnership Interest Jun 27, 2013 50%
Yun Woong Kim Individual Contracted Managing EmployeeMedical Director Jun 13, 2018

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Valerian Home Health and HospiceRound Rock, TX, CCN 747935 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Limited Partnership Interest (100%)
Jun 27, 2013
Jun 27, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1992139893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8310 N CAPITAL OF TEXAS HWY STE 275",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311026",
            "telephone_number": "512-335-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 CAMPUS VILLAGE DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651122",
            "telephone_number": "512-248-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALERIAN HOME HEALTH AND HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-27",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "DENUCCI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-335-0600"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "017276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valerian Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.