National Provider Identifier Database

MIRABELLA AT SOUTH WATERFRONT
Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.


Contact Information

MIRABELLA AT SOUTH WATERFRONT
3550 S BOND AVE
PORTLAND, OR97239-4507
Phone: 503-688-6400
Fax:
Website:
Specialty Taxonomy Code
* Skilled Nursing Facility 314000000X
Alzheimer Center /Dementia Center/Dementia Special Care Unit 311500000X
Assisted Living Facility 310400000X
Custodial Care Facility 311Z00000X
Nursing Facility/Intermediate Care Facility 313M00000X

* Indicates primary specialty

NPI Profile & details for MIRABELLA AT SOUTH WATERFRONT

NPI Number 1487975959
Legal business name
LBN
MIRABELLA AT SOUTH WATERFRONT
Authorized official SHARON VAN EATON - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 06/18/2010
Last updated 12/02/2025 - About 6 months ago
Sole proprietor1 Not specified
Identifiers
  • OR License #: 1233196437
  • OR License #: 1291022896
  • OR License #: 1753514587

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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