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General NPI Number Information
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NPI Number | 1629418835
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Entity Type | Organization
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Legal Business Name | MARQUIS HOME CARE, LLC
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Dates
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Enumeration Date | 07/02/2013
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Last Update Date | 10/26/2015
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Provider Practice Location Address
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Address Line | 230 N. MAIN STREET
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City | SPRING VALLEY
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State | NY
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Zip | 10977-4020
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Country | US
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Telephone | 845-363-8140
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Fax | 845-363-8141
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Provider Business Mailing Address
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Address Line | 230 N. MAIN STREET
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City | SPRING VALLEY
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State | NY
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Zip | 10977-4020
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Country | US
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Telephone | 845-363-8140
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Fax | 845-363-8141
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Authorized Official
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Title or Position | COO
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Name | GREGG ROSEN
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Credential | MPA
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Telephone | 845-363-8168
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 9655L003
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 9655L002
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 9655L001
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License Number State | NY
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