Macao Holdings LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MACAO HOLDINGS LLC

Practice address

850 Sonoma Ave
Santa Rosa, CA 95404-4715

Phone

(707) 544-7750

NPI assigned

May 8, 2025

Organization subpart

No

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

Authorized official

Name

Robert Brandi

Title

Chief Administrative Officer

Phone

(408) 320-9897

Specialties & licenses 1

Addresses

Other names 1

• Blue Oak Post Acute Doing business as

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1821888231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 E CAMPBELL AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 SONOMA AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044715",
            "telephone_number": "707-544-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACAO HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "BRANDI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "408-320-9897"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Oak Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Penelope J Lynn, LCSW
• Victoria Jane Lynskey, D.M.D., M.D.S.
• Mary Killeen Lyons, PHD, MFT
• Ommani Rheannon Lyster
• M.S. Salek DDS, a Dental Corporation
• Steve Macdonald
• Suzanne Nmi Macdonald
• Andrea S Mace, MPSS-PTEUSG
• Jenni Lynn Mace, LCSW
• Kelly Lynn Mace

• Skilled Nursing Facility in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.