Makena Bay, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MAKENA BAY, LLC

Doing business as

Oakwood Meadows Assisted Living

Practice address

7241 Canelo Hills Dr
Citrus Heights, CA 95610-3161

Phone

(916) 742-7673

NPI assigned

Aug 4, 2023

Organization subpart

No

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

Authorized official

Name

Ryan Williams

Title

Managing Member

Phone

(916) 945-1248

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Oakwood Meadows Assisted Living Doing business as

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1265114656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 MENLO DR STE 200",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957653725",
            "telephone_number": "916-879-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7241 CANELO HILLS DR",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956103161",
            "telephone_number": "916-742-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKENA BAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "916-945-1248"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "342700705",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakwood Meadows Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mahaloha Care LLC
• Karista Mahoney
• Thomas M Mahoney, M.D.
• Carol A Mahr, M.S.
• Nakia Nehea'Lani Makalena
• Holley Gonder Malchow
• Marcela Maldonado
• Ruben G Maldonado
• Vanessa Malig
• Alexandria Elaine Mallari

• Assisted Living Facility in Citrus Heights, CA
• Providers in Citrus Heights, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.