Active NPI
Legacy Living Supports
- Community/Behavioral Health Agency
- Columbia, MD
National Provider Identifier
1699610576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- LEGACY LIVING SUPPORTS
- Practice address
- 9039 Constant Crse
Columbia, MD 21046-1776 - Phone
- (443) 766-6265
- NPI assigned
- Apr 20, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marquise Rotia Boone
- Title
- Ower
- Phone
- (301) 395-2934
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
9039 Constant Crse
Columbia, MD 21046-1776
Mailing address
9039 Constant Crse
Columbia, MD 21046-1776
Phone (301) 395-2934
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779408000000",
"number": "1699610576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9039 CONSTANT CRSE",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210461776",
"telephone_number": "301-395-2934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9039 CONSTANT CRSE",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210461776",
"telephone_number": "443-766-6265"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY LIVING SUPPORTS",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-20",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A",
"authorized_official_last_name": "BOONE",
"authorized_official_first_name": "MARQUISE",
"authorized_official_middle_name": "ROTIA",
"authorized_official_title_or_position": "OWER",
"authorized_official_telephone_number": "301-395-2934"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.