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MACKENZIE MANOR LLC
NPI 1396952180
Assisted Living Facility in San Antonio, TX

Active since May 17, 2007
5450 MAPLE VIS, SAN ANTONIO, TX 78247(210) 387-3390 Get Directions Write a Review

NPPES record last updated: August 13, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mackenzie Manor Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MACKENZIE MANOR LLC (NPI 1396952180) is a healthcare organization registered as an assisted living facility in San Antonio, Texas and active in the NPI registry since May 2007. The organization lists John Charles Marcus, Manager, as its authorized official.

NPPES Registry Identity

NPI1396952180
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMACKENZIE MANOR LLC
Location Address5450 MAPLE VISSan Antonio, TX 78247-4603
Mailing Address5450 Maple VisSan Antonio, TX 78247-4603 · (210) 387-3390
Phone(210) 387-3390
Organization SubpartNo
Authorized OfficialJohn Charles MarcusManager · (210) 387-3390
Enumeration DateMay 17, 2007
Last NPPES UpdateAugust 13, 2008
✔ NPI 1396952180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in TX · 101538
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
5450 MAPLE VIS, San Antonio, TX 78247
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Other Identifiers 1

MedicaidF50015226TX

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mackenzie Manor LLC's NPI number?

The NPI number for Mackenzie Manor LLC is 1396952180. It was assigned to this organization in the NPPES registry on May 17, 2007.

Where is Mackenzie Manor LLC located?

Mackenzie Manor LLC is located at 5450 Maple Vis, San Antonio, TX 78247. The listed phone number is (210) 387-3390.

What is Mackenzie Manor LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Mackenzie Manor LLC was last updated on August 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.