Organization Active NPI

Legacy Living Supports

  • Community/Behavioral Health Agency
  • Columbia, MD
National Provider Identifier
1699610576
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on May 22, 2026

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.