Organization Active NPI

Marlin Ventures LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Wexford, PA
National Provider Identifier
1477959757
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
MARLIN VENTURES LLC
Practice address
6500 Brooktree Rd
Wexford, PA 15090-9272
Phone
(724) 935-0460
NPI assigned
Nov 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Authorized official

Name
Hirsch Chinn
Title
Coo
Phone
(412) 512-7306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

6500 Brooktree Rd
Wexford, PA 15090-9272

Mailing address

PO Box 1030
Brick, NJ 08723-0090

Other names 1

  • Brooktree Health Services Doing business as

National Provider Directory

National Provider Directory

Locations

6500 Brooktree Rd
Wexford, PA 15090
Phone (724) 935-2955

NPI Registry JSON

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1477959757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1030",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087230090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 BROOKTREE RD",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909272",
            "telephone_number": "724-935-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLIN VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-13",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "CHINN",
        "authorized_official_first_name": "HIRSCH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "412-512-7306"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brooktree Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.