Provider Demographics
NPI:1992139893
Name:VALERIAN HOME HEALTH AND HOSPICE LLC
Entity type:Organization
Organization Name:VALERIAN HOME HEALTH AND HOSPICE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:DENUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-335-0600
Mailing Address - Street 1:8310 N CAPITAL OF TEXAS HWY STE 275
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-1026
Mailing Address - Country:US
Mailing Address - Phone:512-335-0600
Mailing Address - Fax:
Practice Address - Street 1:4701 CAMPUS VILLAGE DR
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-1122
Practice Address - Country:US
Practice Address - Phone:512-248-2222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-27
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX017276251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
741521Medicare PIN