Healthcare Provider Details

I. General information

NPI: 1225988306
Provider Name (Legal Business Name): MARQUEE HOMECARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2026
Last Update Date: 02/01/2026
Certification Date: 02/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4112 PLEASANT VALLEY RD
RALEIGH NC
27612-6256
US

IV. Provider business mailing address

4112 PLEASANT VALLEY RD
RALEIGH NC
27612-6256
US

V. Phone/Fax

Practice location:
  • Phone: 865-454-9823
  • Fax:
Mailing address:
  • Phone: 865-454-9823
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ROBERT LOW
Title or Position: OWNER/DIRECTOR
Credential:
Phone: 865-454-9823