MIRABELLA AT SOUTH WATERFRONT
MIRABELLA AT SOUTH WATERFRONT is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1487975959, based in Portland, OR. The organization lists 5 taxonomy classifications, with Skilled Nursing Facility recorded as primary.
Getting there
The practice address on file is 3550 S BOND AVE, Portland, OR 97239. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 1233196437 | OR | Nursing Facility/Intermediate Care… |
| 1753514587 | OR | Alzheimer Center (Dementia Center) |
| 1291022896 | OR | Assisted Living Facility |
This provider holds licence 1233196437 issued in OR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part A Provider - Skilled Nursing Facility
- PAC ID
- 2466576970
Medicare enrolment is recorded as approved under the provider type Part A Provider - Skilled Nursing Facility. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Skilled Nursing Facility covers
(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. NUCC Health Care Provider Taxonomy, code 314000000X
All registered taxonomy codes
This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | — | — | primary |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 1233196437 | OR | |
| 311Z00000X | Custodial Care Facility | — | — | |
| 311500000X | Alzheimer Center (Dementia Center) | 1753514587 | OR | |
| 310400000X | Assisted Living Facility | 1291022896 | OR |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1487975959 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jun 18, 2010 |
| Last updated | Dec 2, 2025 |
| Status | Active |
| Practice address |
3550 S BOND AVE Portland, OR 97239 (503) 688-6400 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 4 | 8 | 7 | 9 | 7 | 5 | 9 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 7 | 7 | 9 | 7 | 1 | 9 | 1 |
Sum = 71 · next multiple of 10 = 80 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.