Organization Active NPI

Marin House LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Maricopa, AZ
National Provider Identifier
1376478917
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
MARIN HOUSE LLC
Practice address
35918 W Marin Ave
Maricopa, AZ 85138-2533
Phone
(520) 350-1219
NPI assigned
Jun 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Douglas Lane, MBA
Title
House Manager
Phone
(602) 628-4127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

35918 W Marin Ave
Maricopa, AZ 85138-2533

Mailing address

35918 W Marin Ave
Maricopa, AZ 85138-2533
Phone (520) 350-1219

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1781568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1376478917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35918 W MARIN AVE",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851382533",
            "telephone_number": "520-350-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35918 W MARIN AVE",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851382533",
            "telephone_number": "520-350-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIN HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "HOUSE MANAGER",
        "authorized_official_telephone_number": "602-628-4127",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maricopa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.