Makena Bay, Llc

LBN: Makena Bay, Llc
Makena Bay, Llc is an health care organization with primary practice located at 7241 Canelo Hills Dr , Citrus Heights CA 95610-3161. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Makena Bay, Llc can be contacted via phone (916) 742-7673, or through Williams, Ryan via phone (916) 945-1248.

Contact Information

Primary practice address
7241 Canelo Hills Dr Citrus Heights CA 95610-3161
Phone: (916) 742-7673
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Williams, Ryan
Phone: (916) 945-1248

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1265114656
LBN Legal business name Makena Bay, Llc
DBA Doing business as
Authorized official Williams, Ryan
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2023
Last updated Aug 4th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1265114656 NPPES
California MEDICAID 342700705

Popular Providers