Organization Active NPI

Marna E. Carli

Doing business as Alpine Home I

  • Intellectual Disabilities Intermediate Care Facility
  • Paradise, CA
National Provider Identifier
1154332302
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
230000197 Issued in CA
Legal business name
MARNA E. CARLI
Doing business as
Alpine Home I
Practice address
6156 Ripley LN
Paradise, CA 95969
Phone
(530) 877-4006
Fax
(530) 877-4068
NPI assigned
Aug 11, 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) 877-4006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 230000197 CA Primary

Addresses

Primary practice location

6156 Ripley LN
Paradise, CA 95969

Mailing address

6156 Ripley LN
Paradise, CA 95969
Phone (530) 877-4006

Other identifiers 1

IdentifierTypeStateIssuer
LTCOtherCAMEDI CAL

Other names 1

  • Alpine Home I Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1154332302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6156 RIPLEY LN",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "95969",
            "telephone_number": "530-877-4006",
            "fax_number": "530-877-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6156 RIPLEY LN",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "95969",
            "telephone_number": "530-877-4006",
            "fax_number": "530-877-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARNA E. CARLI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "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": "530-877-4006"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "230000197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL",
            "identifier": "LTC",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpine Home I",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paradise, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.