Marquis Certified Home Care, LLC
Organization Active NPI Home Health Agency · Albany, NY
NPI 1467074898 · NPPES record last updated Mar 2, 2021
Key facts
- NPI
- 1467074898
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- MARQUIS CERTIFIED HOME CARE, LLC
- Practice address
- 1762 Central Ave
Albany, NY 12205-4773 - Phone
- (518) 216-0100
- NPI assigned
- May 7, 2020
- Organization subpart
- No
Authorized official
- Name
- Aryeh Gorelick, CPA
- Title
- Controller
- Phone
- (845) 241-9724
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 1
Change of ownership 1
Practitioners 2
-
Amanda Hayward, OTR/L
-
Elise Prinzo, DPT
Affiliated clinicians 100
-
Crystal M Baker, RPA-C
-
Lev L Barats, MD
-
Carmen Cardinale, FNP
-
Jan Carstens, MD
-
Kathleen M. Catalano, D.O.
-
Russell N.a. Cecil, M.D.,PH.D.
-
Cindy Hoying Chan, M.D.
-
Wayne Elroy Chan, NP
-
Thomas Chattathil, M.D
-
Richard A Clark, RPA-C
-
Kevin Cope, M.D
-
Kevin Brian Costello, M.D.
-
Walter Donald Cummings, D.O.
-
Tracy K Danehy Kuban, FNP-C
-
Jose M. David Jr., M.D.
-
Abigail Dionne, PA
-
Robert Joseph Donohue, M.D.
-
Robert M Droege, MD
-
Zofia Wanda Drzymalski, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Marquis Certified Home Care, LLC
- Overall star rating
- ★★★★☆ 3.5 of 5
- Ownership
- Proprietary
- Certified
- Apr 12, 2000
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
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
- LLC · Proprietary
- Incorporated
- Dec 13, 2017 in NY
- Enrollment address
- 1762 Central Ave
Albany, NY 12205-4773
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Eric Newhouse |
5% Or Greater Direct Ownership Interest | Dec 13, 2017 | 67% |
| Gregg Rosen |
Corporate Director |
Oct 23, 2020 | |
| Operational/Managerial Control |
Oct 23, 2020 |
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Oct 23, 2020 | Change of Ownership |
Living Resources Certified Home Health Agency Inc |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201207000588 | NY | Part a Provider - Home Health Agency | 2062824550 |
1 other NPI on this enrollment Practice locations: Albany, NY |
National Provider Directory
- Tax ID family
- Marquis Certified Home Care
Locations
1762 Central Ave
Albany, NY 12205
Phone (518) 216-0100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
1762 Central Ave
Albany, NY 12205-4773
Mailing address
230 N Main St
Spring Valley, NY 10977-4020
Phone (845) 363-8140
Other providers in Albany, NY
- Michael J. Marmulstein
- Heather Lynne Maroney
- Justin Vincent Maroney
- Christine G Marotta
- Marquis Certified Home Care, LLC
- Kristen M Marquis
- Katherine D Marra
- Taryn Kelsey Marra
- Bernice Marrero
- Alexis Marrin
All providers in Albany, NY · Home Health Agency in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.