Macksville Solutions Limited Liability Company

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MACKSVILLE SOLUTIONS LIMITED LIABILITY COMPANY

Practice address

3917 Brookdale CT
Jacksonville, FL 32277-1317

Phone

(904) 609-1185

NPI assigned

Jul 24, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Chavist S Mack

Title

Administrator

Phone

(904) 609-1185

Specialties & licenses 1

Addresses

Other names 1

• Cotea Care Senior Community Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1225718331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 MERRILL RD UNIT 11642",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322397767",
            "telephone_number": "904-609-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 BROOKDALE CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322771317",
            "telephone_number": "904-609-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACKSVILLE SOLUTIONS LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-23",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "CHAVIST",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-609-1185",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cotea Care Senior Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rene Mackinnon, MD
• Daniel Macklin, MD
• Briana Nichole Mackoul, MA
• Rebecca Lynn Mackowski, ARNP
• Joan Marie Macksey, MD
• Amy Elizabeth Maclean, ARNP
• Elizabeth Maclennan, MA
• Shahzaade Charisse Maclin, PMHNP
• Harry Macneill, LMHC
• Yisel Macola Vera

• Assisted Living Facility in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.