MEDICARE: MARQUIS COMPANIES I, INC

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	314000000X	Skilled Nursing Facility	2097SNF-5	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790785590
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARQUIS COMPANIES I, INC

Provider Business Mailing Address
First Line	:	6021 W CHEYENNE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-4205
Country	:	US
Telephone Number	:	702-658-9494
Fax Number	:	702-658-9419

Provider Business Practice Location Address
First Line	:	6021 W CHEYENNE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-4205
Country	:	US
Telephone Number	:	702-658-9494
Fax Number	:	702-658-9419

Authorized Official
Title or Position	:	CORPORATE CONTROLLER
Name	:	STACI L TONE
Credential	:
Telephone Number	:	971-206-5125

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	07/14/2015

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