Marrauris Legacy LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MARRAURIS LEGACY LLC

Practice address

3755 E State St
Hermitage, PA 16148-3410

Phone

(724) 928-9111

NPI assigned

Sep 22, 2023

Organization subpart

No

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

Authorized official

Name

Juanita WilliamsNPI 1366102832

Title

Owner

Phone

(724) 928-9111

Specialties & licenses 1

Addresses

Other names 1

• Aglow Home Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juanita Williams, CSCM

  • In Home Supportive Care Agency
  • Hubbard, OH
  • NPI 1366102832
  NPD Authorized official

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1861271660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 E STATE ST",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 E STATE ST",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483410",
            "telephone_number": "724-928-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARRAURIS LEGACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-928-9111"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aglow Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mollie Lewis Lyon
• Phyllis Mammarelli
• Kristen Manuel
• Gene A Marcelli Jr., MD
• James J Marcin, D.O.
• Michael Marshall
• Jennifer Ann Martin, RPH
• Shalyn Marhel Martin
• George Martuccio, OD
• Stephanie K Marugg, LCSW

• In Home Supportive Care Agency in Hermitage, PA
• Providers in Hermitage, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.