Mao Entreprises LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

MAO ENTREPRISES LLC

Practice address

319 Atlantic Ave
Fairfield, CA 94533-1540

Phone

(510) 359-5853

NPI assigned

Jun 5, 2025

Organization subpart

No

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

Authorized official

Name

Marie Octena, HOUSING PROVIDER

Title

Ceo

Phone

(510) 359-5853

Specialties & licenses 1

Addresses

Other names 1

• Serenity Homes Doing business as

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

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1902790702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 BEDFORD WAY",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876702",
            "telephone_number": "510-359-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 ATLANTIC AVE",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945331540",
            "telephone_number": "510-359-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAO ENTREPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "OCTENA",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-359-5853",
        "authorized_official_credential": "HOUSING PROVIDER"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Travis Robert Manning
• Usha Mantena, D.M.D.
• Christy Mantz, LCSW
• Jobin Manuel
• Macelyn-Joy Narvaez Manuel
• Lawrence Fernandez Maramba
• Mae Charline M. Maramba
• Noel Marcaida
• Cesar Mardones
• Andrew Marino

• Substance Abuse Rehabilitation Facility in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.