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PCM GROUP INC DBA MIRABEL LODGE NPI 1336412113


NPI Information

NPI: 1336412113
Provider Name: PCM GROUP INC DBA MIRABEL LODGE
Classification: Alzheimer Center (Dementia Center) - 311500000X
Entity Type: Organization
Address:
6950 MIRABEL RD
FORESTVILLE, CA
ZIP 95436
Phone: (707) 887-1754
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PCM GROUP INC DBA MIRABEL LODGE is an alzheimer center dementia center in Forestville, CA. The provider is a freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. PCM GROUP INC DBA MIRABEL LODGE NPI is 1336412113. The provider is registered as an organization entity type.

The provider's business location address is:

6950 MIRABEL RD
FORESTVILLE, CA
ZIP 95436-534
Phone: (707) 887-1754
Fax: (707) 887-0546

The provider's authorized official is Alain A Serkissian .
The authorized official title is Owner/ Administrator/ Licencee and has the following contact phone number (707) 887-1754.

The enumeration date for this NPI number is 2/9/2012 and was last updated on 2/9/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility496800941CALIFORNIANo
23104A0630XAssisted Living FacilityAssisted Living, Behavioral Disturbances496800941CALIFORNIANo
3311500000XAlzheimer Center (Dementia Center)496800941CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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