MEDICARE: MS. MARCELEE MANUELA EBANKS SR.

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	251E00000X	Home Health Agency		CO

General Provider Information

NPI Number	:	1154271773
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARCELEE MANUELA EBANKS SR.

Provider Business Mailing Address
First Line	:	6620 E 79TH PL
Second Line	:
City	:	COMMERCE CITY
State	:	CO
Zip	:	80022-1166
Country	:	US
Telephone Number	:	720-589-8927
Fax Number	:

Provider Business Practice Location Address
First Line	:	6620 E 79TH PL
Second Line	:
City	:	COMMERCE CITY
State	:	CO
Zip	:	80022-1166
Country	:	US
Telephone Number	:	720-589-8927
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

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

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