MACTOWN, INC. (NPI# 1154518686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 02497798 | 05 |
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 |
Street Address |
151 NE 62ND ST |
City | MIAMI |
State | FL |
Zip Code | 33138-5926 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801359559 | Kenneth Wayne Roberts | Student in an Organized Health Care Education/Training Program | Aventura Hospital & Medical Center, 20900 Biscayne Blvd, Aventura, FL 33138 | 2019-04-10 |
1073081121 | Speak E-z Therapy LLC | Clinic/Center | 1040 Ne 86th St, Miami, FL 33138 | 2018-11-07 |
1841795747 | Maria Virginia Gomez Padron | General Practice | 7858 Ne 2nd Ave Fl 33138, Miami, FL 33138 | 2018-03-24 |
1760991780 | A Star Companion, Inc | In Home Supportive Care | 9628 N.e 2 Ave Suite A4, Miami Shores, FL 33138 | 2017-09-21 |
1598114241 | Cynthia K Monroe | Behavior Technician | 6723 Ne Miami Place, Miami, FL 33138 | 2016-06-03 |
1386019701 | Claudio Bandiera | Physical Therapist | 8030 Ne 5th Ave Ste 4, Miami, FL 33138 | 2015-12-10 |
1477942845 | Mahfar, LLC | Pharmacy | 6301 Biscayne Blvd #101, Miami, FL 33138 | 2015-01-22 |
1043641137 | Nicolas Ledon | Counselor | 9999 Ne 2nd Ave Ste 311, Miami Shores, FL 33138 | 2013-11-27 |
1427326487 | Carevantage Medical Centers of Miami Shores, LLC | General Practice | 9726-30 Ne 2 Ave, Miami Shores, FL 33138 | 2011-12-06 |
1013212166 | Anabelle Maldonado-medina M.d P A | Specialist | 9999 Ne 2nd Ave Ste 208, Miami Shores, FL 33138 | 2011-01-21 |
Find all providers in zip 33138 |
Taxonomy Code | 320600000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073081915 | A Loving Care Group Home, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1250 Nw 72nd St, Miami, FL 33147-6416 | 2018-11-08 |
1578011920 | Mauricio Martin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 20342 Sw 129th Pl, Miami, FL 33177-5506 | 2016-09-14 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
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1699375485 | Violange Joseph | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3310 Sw Frankford St, Port St Lucie, FL 34953-4937 | 2020-10-29 |
1407468986 | Winchester Oaks Corporation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 871 Winchester St, Daytona Beach, FL 32114-1977 | 2020-08-17 |
1609486844 | Aclaris Care Home, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7711 N Rome Ave, Tampa, FL 33604-4615 | 2020-08-03 |
1386253987 | Rosa Estela Companioni | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6704 Commodore Way, Tampa, FL 33615-5810 | 2020-07-29 |
1972121192 | Victorian Manor, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11150 Sw 42nd Ct, Davie, FL 33328-2140 | 2020-07-14 |
1881233716 | Elizabeth Stapleton | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4628 25th St Sw, Lehigh Acres, FL 33973-6161 | 2019-12-23 |
1689217887 | Angelchild Homecare Corp Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1641 Sunset Point Rd, Clearwater, FL 33755-1657 | 2019-10-21 |
1659927325 | Coby Cares Corporation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1754 Barnstable Rd, Wellington, FL 33414-6143 | 2019-08-17 |
1518520725 | Freshen Schammua Docile | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9097 Sw 4th St, Boca Raton, FL 33433-4607 | 2019-04-15 |
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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.