Organization Active NPI

Carbon Assisted Living LLC

  • Assisted Living Facility
  • Anchorage, AK
National Provider Identifier
1851051601
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CARBON ASSISTED LIVING LLC
Practice address
4810 Snow Cir
Anchorage, AK 99508-3783
Phone
(907) 519-1738
NPI assigned
Dec 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Authorized official

Name
Michel Darine CarbonNPI 1730756164
Title
Owner/ Administrator
Phone
(907) 519-1738

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 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

Other identifiers 1

IdentifierTypeStateIssuer
1719817MedicaidAK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1851051601",
    "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": {
        "organization_name": "CARBON ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "CARBON",
        "authorized_official_first_name": "MICHEL",
        "authorized_official_middle_name": "DARINE",
        "authorized_official_title_or_position": "OWNER/ ADMINISTRATOR",
        "authorized_official_telephone_number": "907-519-1738"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1719817",
            "state": "AK"
        }
    ],
    "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 Dec 21, 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.