Active NPI
Marna E. Carli
- Intellectual Disabilities Intermediate Care Facility
- Paradise, CA
National Provider Identifier
1487665550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- 230000243
- Legal business name
- MARNA E. CARLI
- Doing business as
- Alpine Home II
- Practice address
- 1269 Kling CT
Paradise, CA 95969 - Phone
- (530) 872-3352
- Fax
- (530) 872-3353
- NPI assigned
- Aug 11, 2006
- 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
- Robert M Carli
- Title
- Administrator
- Phone
- (530) 872-3352
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 230000243 | CA | Primary |
Addresses
Primary practice location
1269 Kling CT
Paradise, CA 95969
Mailing address
1269 Kling CT
Paradise, CA 95969
Phone (530) 872-3352
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LTC80122F | Other | CA | MEDI-CAL |
Other names 1
- Alpine Home II
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 05G879
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 II, THE
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Jun 26, 1995
- Last certification
- Oct 16, 2025
- Beds
- 6
- Ownership / control type
- Private (proprietary)
- Most recent change of ownership
- Jun 26, 2025
- Facility address
- 1269 Kling Court
Paradise, CA 95969
National Provider Directory
National Provider Directory- Tax ID family
- Alpine Home I
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual Disabilities Intermediate Care Facility
- Paradise, CA
- NPI 1013927102
-
- Intellectual Disabilities Intermediate Care Facility
- Paradise, CA
- NPI 1154332302
Locations
1269 Kling Ct
Paradise, CA 95969
Phone (530) 872-3352
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": "1487665550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1269 KLING CT",
"city": "PARADISE",
"state": "CA",
"postal_code": "95969",
"telephone_number": "530-872-3352",
"fax_number": "530-872-3353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1269 KLING CT",
"city": "PARADISE",
"state": "CA",
"postal_code": "95969",
"telephone_number": "530-872-3352",
"fax_number": "530-872-3353"
}
],
"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": "530-872-3352"
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "CA",
"license": "230000243",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "LTC80122F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Alpine Home II",
"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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.