# MACKENZIE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Fair Oaks Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396448882
- **Authorized official:** DAN BUSHNELL (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (949) 508-8370

## Contact information

- **Practice address:** 11300 FAIR OAKS BLVD, FAIR OAKS, CA 95628-5141
- **Practice address phone:** (916) 965-4663
- **Mailing address:** 2266 LAVA RIDGE CT, ROSEVILLE, CA 95661-2856

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 03/23/2023
- **Last updated:** 03/23/2023