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ANDRE ALEXANDER MACEDON
NPI 1952548158
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Garland, TX

Active since January 10, 2009
1614 SKYLINE DR, GARLAND, TX 75043(214) 703-5115 Get Directions Write a Review

NPPES record last updated: January 10, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andre Alexander Macedon NPPES

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

ANDRE ALEXANDER MACEDON (NPI 1952548158) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Garland, Texas and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1952548158
Entity TypeIndividualMale
Primary Taxonomy320900000X
Provider Legal NameANDRE ALEXANDER MACEDON
Location Address1614 SKYLINE DRGarland, TX 75043-1771
Mailing Address1614 Skyline DrGarland, TX 75043-1771 · (214) 703-5115
Phone(214) 703-5115
Sole ProprietorYes
Enumeration DateJanuary 10, 2009
✔ NPI 1952548158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
1614 SKYLINE DR, Garland, TX 75043
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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 Andre Macedon's NPI number?

The NPI number for Andre Macedon is 1952548158. It was assigned to this individual provider in the NPPES registry on January 10, 2009.

Where is Andre Macedon located?

Andre Macedon practices at 1614 Skyline Dr, Garland, TX 75043. The listed phone number is (214) 703-5115.

What is Andre Macedon's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Andre Macedon was last updated on January 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.