Healthcare Provider Details

I. General information

NPI: 1972426583
Provider Name (Legal Business Name): MARIONS LEGACY HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3932 JOHN F KENNEDY PKWY UNIT C
FORT COLLINS CO
80525-3085
US

IV. Provider business mailing address

3932 JOHN F KENNEDY PKWY STE C
FORT COLLINS CO
80525-3084
US

V. Phone/Fax

Practice location:
  • Phone: 253-448-5577
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: LAKISHA JONES
Title or Position: CEO
Credential:
Phone: 253-448-5577