MRS. DAWN RAE MACK
NPI 1659674893
Custodial Care Facility - Adult Care Home in Bradenton, FL

Q: What is Dawn Mack's NPI number?

The NPI number for Dawn Mack is 1659674893. It was assigned to this individual provider in the NPPES registry on December 9, 2010. The provider is also known as Mrs. Dawn Rae Paul.

Q: What is Dawn Mack's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Q: When was this NPI record last updated?

The NPPES record for Dawn Mack was last updated on December 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since December 09, 2010

2104 55TH AVE W, BRADENTON, FL 34207(941) 727-7304(941) 756-0741 Get Directions Write a Review

NPPES record last updated: December 9, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mrs. Dawn Rae Mack NPPES

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

MRS. DAWN RAE MACK (NPI 1659674893) is an individual adult care home provider in Bradenton, Florida, licensed in Florida (6906357) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1659674893

Entity TypeIndividualFemale

Primary Taxonomy311ZA0620X

Provider Legal NameMRS. DAWN RAE MACK

Location Address2104 55TH AVE WBradenton, FL 34207-3240

Mailing Address2104 55th Ave WBradenton, FL 34207-3240 · (941) 727-7304 · Fax (941) 756-0741

Phone(941) 727-7304

Fax(941) 756-0741

Sole ProprietorYes

Enumeration DateDecember 9, 2010

✔ NPI 1659674893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

License✔ Licensed in FL · 6906357

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

2104 55TH AVE W, Bradenton, FL 34207

Open in Google Maps ↗

Other Names 1

Former Name (1)Mrs. Dawn Rae Paul

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUDY'S AGAPE HOUSE, LLC

Assisted Living Facility

2104 55TH AVE W
BRADENTON, FL 34207

Manatee County (941) 755-0225

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 Dawn Mack's NPI number?

The NPI number for Dawn Mack is 1659674893. It was assigned to this individual provider in the NPPES registry on December 9, 2010. The provider is also known as Mrs. Dawn Rae Paul.

Where is Dawn Mack located?

Dawn Mack practices at 2104 55th Ave W, Bradenton, FL 34207. The listed phone number is (941) 727-7304.

What is Dawn Mack's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Dawn Mack was last updated on December 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.