MACTOWN, INC.


Address: 151 Ne 62nd St, Miami, FL 33138-5926
Phone: 3057584485

MACTOWN, INC. (NPI# 1154518686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154518686
Entity Type Organization
Organization Name MACTOWN, INC.
Practice Address 151 Ne 62nd St
Miami
FL 33138-5926
Practice Telephone 3057584485
Practice Fax Number 3057569990
Mailing Telephone 3057584485
Mailing Fax Number 3057569990
Enumeration Date 2007-09-28
Last Update Date 2007-09-28
Authorized Official Name MR. GABRIEL JOSEPH PEREZ (DIRECTOR OF FINANCE)
Authorized Official Telephone 3057584485
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 49298 FL Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL 02497798 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1568503456 Mactown, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 6250 Ne 1st Pl, Miami, FL 33138-5904 2007-02-12

Office Location

Street Address 151 NE 62ND ST
City MIAMI
State FL
Zip Code 33138-5926

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Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Notes: [7/1/2003: new]

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NPI Name Taxonomy Address Enumeration
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1730560434 Jesus Group Home LLC. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 15504 Sw 104th Ave, Miami, FL 33157-1458 2015-06-18
1841696929 Dream Team Group Home, Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3653 Nw 4th Ter, Miami, FL 33125-4073 2014-11-17
1508149931 Friendly Hearts Group Home Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 10542 Sw 161st Ave, Miami, FL 33196-4574 2011-09-21
1437459377 Norland Gardens Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 19615 Nw 12th Ct, Miami, FL 33169-3080 2010-10-26
1609073725 Vada Arlene Mertens Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 407 16 Blvd Sw, Miami, OK 74354 2007-07-02
1568503456 Mactown, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 6250 Ne 1st Pl, Miami, FL 33138-5904 2007-02-12
1417027491 Baker Group Home, Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 6965 Nw 21st Court, Miami, FL 33147-6961 2006-11-08

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City MIAMI
Zip Code 33138

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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