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MIRABEL LODGE
NPI 1366168296
Assisted Living Facility in Forestville, CA

Active since October 12, 2022
6950 MIRABEL RD, FORESTVILLE, CA 95436(415) 264-5486 Get Directions Write a Review

NPPES record last updated: October 12, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mirabel Lodge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRABEL LODGE (NPI 1366168296) is a healthcare organization registered as an assisted living facility in Forestville, California and active in the NPI registry since October 2022. The organization lists Alexander Varshavsky, Licensee, as its authorized official.

NPPES Registry Identity

NPI1366168296
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMIRABEL LODGE
Location Address6950 MIRABEL RDForestville, CA 95436-9534
Mailing Address6950 Mirabel RdForestville, CA 95436-9534 · (415) 264-5486
Phone(415) 264-5486
Organization SubpartNo
Authorized OfficialAlexander VarshavskyLicensee · (415) 264-5486
Enumeration DateOctober 12, 2022
NPPES CertifiedOctober 12, 2022
✔ NPI 1366168296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
6950 MIRABEL RD, Forestville, CA 95436
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PCM GROUP INC DBA MIRABEL LODGE
Alzheimer Center (Dementia Center)
6950 MIRABEL RD
FORESTVILLE, CA 95436
Sonoma County (707) 887-1754

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mirabel Lodge's NPI number?

The NPI number for Mirabel Lodge is 1366168296. It was assigned to this organization in the NPPES registry on October 12, 2022.

Where is Mirabel Lodge located?

Mirabel Lodge is located at 6950 Mirabel Rd, Forestville, CA 95436. The listed phone number is (415) 264-5486.

What is Mirabel Lodge's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Mirabel Lodge was last updated on October 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.