NPIMap

Organization Active NPI

Marna E. Carli

  • Intellectual Disabilities Intermediate Care Facility
  • Paradise, CA
National Provider Identifier
1013927102
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
230000299 Issued in CA
Legal business name
MARNA E. CARLI
Doing business as
Alpine Home III
Practice address
5577 Carli CT
Paradise, CA 95969
Phone
(530) 872-2296
Fax
(530) 872-2297
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Robert M Carli
Title
Administrator
Phone
(530) 872-2296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 230000299 CA Primary

Addresses

Primary practice location

5577 Carli CT
Paradise, CA 95969

Mailing address

5577 Carli CT
Paradise, CA 95969
Phone (530) 872-2296

Other identifiers 1

IdentifierTypeStateIssuer
LTC80250FOtherCAMEDI-CAL

Other names 1

  • Alpine Home III Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G230

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ALPINE HOME III, THE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jan 7, 1999
Last certification
Oct 3, 2025
Beds
6
Ownership / control type
Private (proprietary)
Most recent change of ownership
Jun 26, 2025
Facility address
5577 Carli Court
Paradise, CA 95969

National Provider Directory

National Provider Directory
Tax ID family
Alpine Home I3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5577 Carli Ct
Paradise, CA 95969
Phone (530) 872-2296

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1013927102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5577 CARLI CT",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "95969",
            "telephone_number": "530-872-2296",
            "fax_number": "530-872-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5577 CARLI CT",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "95969",
            "telephone_number": "530-872-2296",
            "fax_number": "530-872-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARNA E. CARLI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "CARLI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "530-872-2296"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "230000299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "LTC80250F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpine Home III",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paradise, CA

Sources for this page

Verify at the official NPI Registry.