Provider Demographics
NPI:1285432385
Name:MIAMI TARGERED CASE MANAGEMENT AGENCY INC
Entity type:Organization
Organization Name:MIAMI TARGERED CASE MANAGEMENT AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES HORTA
Authorized Official - Suffix:
Authorized Official - Credentials:MSC
Authorized Official - Phone:786-608-3849
Mailing Address - Street 1:5409 SW 139TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-6016
Mailing Address - Country:US
Mailing Address - Phone:305-984-4195
Mailing Address - Fax:
Practice Address - Street 1:5409 SW 139TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-6016
Practice Address - Country:US
Practice Address - Phone:305-984-4195
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)