MEDICARE: VALERIAN HOME HEALTH AND HOSPICE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency	017276	TX

General Provider Information

NPI Number	:	1992139893
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALERIAN HOME HEALTH AND HOSPICE LLC

Provider Business Mailing Address
First Line	:	8310 N CAPITAL OF TEXAS HWY STE 275
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-1026
Country	:	US
Telephone Number	:	512-335-0600
Fax Number	:

Provider Business Practice Location Address
First Line	:	4701 CAMPUS VILLAGE DR
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78665-1122
Country	:	US
Telephone Number	:	512-248-2222
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	PAUL DENUCCI
Credential	:
Telephone Number	:	512-335-0600

Provider Enumeration Date	:	08/27/2013
Last Update Date	:	04/07/2016

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