MEDICARE: MARQUEE HOMECARE

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	385H00000X	Respite Care
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1225988306
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARQUEE HOMECARE

Provider Business Mailing Address
First Line	:	4112 PLEASANT VALLEY RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27612-6256
Country	:	US
Telephone Number	:	865-454-9823
Fax Number	:

Provider Business Practice Location Address
First Line	:	4112 PLEASANT VALLEY RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27612-6256
Country	:	US
Telephone Number	:	865-454-9823
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DIRECTOR
Name	:	ROBERT LOW
Credential	:
Telephone Number	:	865-454-9823

Provider Enumeration Date	:	01/29/2026
Last Update Date	:	02/01/2026

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Directions to “MARQUEE HOMECARE ” Practice Location

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