Provider Demographics
NPI:1194045336
Name:MARQUIS COMPANIES I, INC.
Entity Type:Organization
Organization Name:MARQUIS COMPANIES I, INC.
Other - Org Name:MARQUIS CARE AT CENTENNIAL HILS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATE CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:STACI
Authorized Official - Middle Name:
Authorized Official - Last Name:TONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:971-206-5200
Mailing Address - Street 1:6351 N. FORT APACHE ROAD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149
Mailing Address - Country:US
Mailing Address - Phone:702-395-1555
Mailing Address - Fax:
Practice Address - Street 1:6351 N. FORT APACHE ROAD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149
Practice Address - Country:US
Practice Address - Phone:702-395-1555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MARQUIS COMPANIES I, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-06-10
Last Update Date:2015-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV314000000X
314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100521441Medicaid
NV100521441Medicaid
NV295089Medicare Oscar/Certification