Mactown, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

49298 Issued in FL

Legal business name

MACTOWN, INC.

Practice address

151 NE 62ND St
Miami, FL 33138-5926

Phone

(305) 758-4485

Fax

(305) 756-9990

NPI assigned

Sep 28, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Gabriel Joseph Perez

Title

Director of Finance

Phone

(305) 758-4485

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Mactown Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mactown, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Miami, FL
  • NPI 1568503456
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1154518686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 NE 62ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331385926",
            "telephone_number": "305-758-4485",
            "fax_number": "305-756-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 NE 62ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331385926",
            "telephone_number": "305-758-4485",
            "fax_number": "305-756-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACTOWN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "305-758-4485",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "49298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02497798",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney A Macmahon
• Thomas Fergus Macmahon, M.D.
• Elena Sanchez Macnamara, M.S.
• Thalia Macola Alonso
• Erick Macri
• Mactown, Inc.
• Elizabeth J Macy
• Brianna Maczon-Campos
• Krisstina Madan, ARNP
• Maria Elena Madan, RPH

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Miami, FL
• Providers in Miami, FL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.