Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mirabel Lodge

Organization Assisted Living Facility · NPI 1366168296

Mirabel Lodge is an Assisted Living Facility in Forestville, California. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

6950 Mirabel Rd
Forestville, CA 95436-9534
Phone: (415) 264-5486
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1366168296
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexander Varshavsky — Licensee · (415) 264-5486
NPI enumeratedOctober 12, 2022
Last updated in NPPESOctober 12, 2022
Certification dateOctober 12, 2022
Mailing address6950 Mirabel Rd, Forestville, CA 95436-9534

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