MACTOWN, INC.
NPI 1154518686
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Miami, FL

Active since September 28, 2007CLIA 10D2165987 · Waiver
151 NE 62ND ST, MIAMI, FL 33138(305) 758-4485(305) 756-9990 Get Directions Write a Review

NPPES record last updated: September 28, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mactown, Inc. NPPES

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

MACTOWN, INC. (NPI 1154518686) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Miami, Florida and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through May 8, 2027 and lists Gabriel Joseph Perez, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1154518686
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameMACTOWN, INC.
Location Address151 NE 62ND STMiami, FL 33138-5926
Mailing Address151 Ne 62nd StMiami, FL 33138-5926 · (305) 758-4485 · Fax (305) 756-9990
Fax(305) 756-9990
Organization SubpartNo
Authorized OfficialGabriel Joseph PerezDirector Of Finance · (305) 758-4485
Enumeration DateSeptember 28, 2007
NPI 1154518686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License Licensed in FL · 49298
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
151 NE 62ND ST, Miami, FL 33138

Other Identifiers 1

Medicaid02497798FL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2165987

Mactown, Inc · Miami, FL
Active · expires May 8, 2027
CLIA Number10D2165987
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateMay 9, 2025
Certificate Expiration DateMay 8, 2027
Laboratory DirectorRoma Holmes
Laboratory Phone(305) 758-4485
Laboratory LocationMactown, Inc6250 NE 1st Place, Miami, FL 33138
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Mactown, Inc.'s NPI number?

The NPI number for Mactown, Inc. is 1154518686. It was assigned to this organization in the NPPES registry on September 28, 2007.

Where is Mactown, Inc. located?

Mactown, Inc. is located at 151 NE 62nd St, Miami, FL 33138. The listed phone number is (305) 758-4485.

What is Mactown, Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Does Mactown, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2165987) is associated with this NPI, valid through May 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mactown, Inc. was last updated on September 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.