NPIMap

Organization Active NPI

Marquis Certified Home Care, LLC

  • Home Health Agency
  • Albany, NY
National Provider Identifier
1316522964
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MARQUIS CERTIFIED HOME CARE, LLC
Practice address
1762 Central Ave
Albany, NY 12205-4773
Phone
(518) 216-0100
NPI assigned
Mar 16, 2021
Last updated
Mar 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Aryeh Gorelick
Title
Controller
Phone
(845) 241-9724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1762 Central Ave
Albany, NY 12205-4773

Mailing address

230 N Main St
Spring Valley, NY 10977-4020
Phone (845) 241-9724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201207000588 NY Part A Provider - Home Health Agency 2062824550 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Albany, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316522964. Details of each certification follow.

Home health agency certification: CCN 337418

Legal name
MARQUIS CERTIFIED HOME CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 12, 2000
Last certification
Aug 31, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Dec 13, 2017 in NY
Enrollment address
1762 Central Ave
Albany, NY 12205-4773
HHA Branch

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Marquis Certified Home Care, LLCCCN 337418 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Apr 12, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Marquis Certified Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Eric Newhouse Individual 5% Or Greater Direct Ownership Interest Dec 13, 2017 67%
Gregg Rosen Individual Corporate DirectorCeo Oct 23, 2020
Operational/Managerial ControlCoo Oct 23, 2020

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 100

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1316522964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N MAIN ST",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109774020",
            "telephone_number": "845-241-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1762 CENTRAL AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122054773",
            "telephone_number": "518-216-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARQUIS CERTIFIED HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "GORELICK",
        "authorized_official_first_name": "ARYEH",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "845-241-9724"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.