Organization Active NPI

Linnhaven, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Marion, IA
National Provider Identifier
1003979485
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
LINNHAVEN, INC
Practice address
1199 Blairs Ferry Rd
Marion, IA 52302-3013
Phone
(319) 377-9788
Fax
(319) 377-7641
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ms. Diane Marie Pitlik
Title
Executive Director
Phone
(319) 377-9788

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X IA Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X IA

Addresses

Primary practice location

1199 Blairs Ferry Rd
Marion, IA 52302-3013

Mailing address

1199 Blairs Ferry Rd
Marion, IA 52302-3013
Phone (319) 377-9788

Other identifiers 2

IdentifierTypeStateIssuer
0260109MedicaidIA
0106526MedicaidIA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1003979485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 BLAIRS FERRY RD",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523023013",
            "telephone_number": "319-377-9788",
            "fax_number": "319-377-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 BLAIRS FERRY RD",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523023013",
            "telephone_number": "319-377-9788",
            "fax_number": "319-377-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINNHAVEN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PITLIK",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "319-377-9788",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "IA",
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0260109",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0106526",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.