Individual provider Active NPI

Michel Darine Carbon

  • Assisted Living Facility
  • Anchorage, AK
National Provider Identifier
1730756164
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
101432 Issued in AK
Practice address
4810 Snow Cir
Anchorage, AK 99508-3783
Phone
(907) 519-1738
NPI assigned
Jun 4, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 101432 AK Primary

Addresses

Primary practice location

4810 Snow Cir
Anchorage, AK 99508-3783

Mailing address

4810 Snow Cir
Anchorage, AK 99508-3783
Phone (907) 519-1738

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
101432AKMDAssisted Living Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Assisted Living LLC Assisted Living Facility CurrentSince Dec 26, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1730756164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 SNOW CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083783",
            "telephone_number": "907-519-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 SNOW CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083783",
            "telephone_number": "907-519-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBON",
        "first_name": "MICHEL",
        "middle_name": "DARINE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "101432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.