Active NPI
Marathon Life Services LLC
- Community/Behavioral Health Agency
- Richmond, VA
National Provider Identifier
1548092265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MARATHON LIFE SERVICES LLC
- Practice address
- 715 E 4TH St Ste 24
Richmond, VA 23224-5559 - Phone
- (804) 738-1010
- NPI assigned
- Aug 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Hunter
- Title
- Owner
- Phone
- (804) 738-1010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
715 E 4TH St Ste 24
Richmond, VA 23224-5559
Mailing address
715 E 4TH St Ste 24
Richmond, VA 23224-5559
Phone (804) 738-1010
National Provider Directory
National Provider DirectoryLocations
715 E 4th St
Ste 24
Richmond, VA 23224
Phone (804) 738-1010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724112000000",
"number": "1548092265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 E 4TH ST STE 24",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232245559",
"telephone_number": "804-738-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 E 4TH ST STE 24",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232245559",
"telephone_number": "804-738-1010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARATHON LIFE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-20",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A",
"authorized_official_last_name": "HUNTER",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "804-738-1010"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.