MEDICARE: MRS. MARSHA J GAY

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	253Z00000X	In Home Supportive Care Agency
2	251E00000X	Home Health Agency
3	372600000X	Adult Companion	99411	NC
4	376J00000X	Homemaker	99411	NC

General Provider Information

NPI Number	:	1629255161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARSHA J GAY

Provider Business Mailing Address
First Line	:	6509 THETFORD CT
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-6332
Country	:	US
Telephone Number	:	919-847-4715
Fax Number	:

Provider Business Practice Location Address
First Line	:	6509 THETFORD CT
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-6332
Country	:	US
Telephone Number	:	919-847-4715
Fax Number	:

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

Provider Enumeration Date	:	01/28/2008
Last Update Date	:	02/22/2026

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