RODERICK MACK
NPI 1013669621
Day Training/Habilitation Specialist in Fort Lauderdale, FL

Q: What is Roderick Mack's NPI number?

The NPI number for Roderick Mack is 1013669621. It was assigned to this individual provider in the NPPES registry on January 25, 2022.

Q: What is Roderick Mack's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

Q: When was this NPI record last updated?

The NPPES record for Roderick Mack was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since January 25, 2022

2824 WASHINGTON DR, FORT LAUDERDALE, FL 33311(305) 992-5119 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Roderick Mack NPPES

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

RODERICK MACK (NPI 1013669621) is an individual day training/habilitation specialist in Fort Lauderdale, Florida and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1013669621

Entity TypeIndividualMale

Primary Taxonomy373H00000X

Provider Legal NameRODERICK MACK

Location Address2824 WASHINGTON DRFort Lauderdale, FL 33311-6658

Mailing Address5887 Nw 66th WayParkland, FL 33067-1352 · (305) 992-5119

Phone(305) 992-5119

Sole ProprietorNo

Enumeration DateJanuary 25, 2022

NPPES CertifiedJanuary 25, 2022

✔ NPI 1013669621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers

Taxonomy Code373H00000X

Definition

Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

2824 WASHINGTON DR, Fort Lauderdale, FL 33311

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VILLAGE GROUP LLC

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

2824 WASHINGTON DR
FORT LAUDERDALE, FL 33311

Broward County (305) 992-5119

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 Roderick Mack's NPI number?

The NPI number for Roderick Mack is 1013669621. It was assigned to this individual provider in the NPPES registry on January 25, 2022.

Where is Roderick Mack located?

Roderick Mack practices at 2824 Washington Dr, Fort Lauderdale, FL 33311. The listed phone number is (305) 992-5119.

What is Roderick Mack's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Roderick Mack was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.