STACEY MATTOCKS
NPI 1144639899
Assisted Living Facility in Plantation, FL

Q: What is Stacey Mattocks's NPI number?

The NPI number for Stacey Mattocks is 1144639899. It was assigned to this individual provider in the NPPES registry on August 7, 2014.

Q: What is Stacey Mattocks's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Mattocks was last updated on August 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 August 07, 2014

6839 NW 15TH ST, PLANTATION, FL 33313(954) 317-3979(954) 317-3331 Get Directions Write a Review

NPPES record last updated: August 7, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Stacey Mattocks NPPES

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

STACEY MATTOCKS (NPI 1144639899) is an individual assisted living facility provider in Plantation, Florida, licensed in Florida (AL12547) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1144639899

Entity TypeIndividualFemale

Primary Taxonomy310400000X

Provider Legal NameSTACEY MATTOCKS

Location Address6839 NW 15TH STPlantation, FL 33313-5318

Mailing Address6839 Nw 15th StPlantation, FL 33313-5318 · (954) 317-3979 · Fax (954) 317-3331

Phone(954) 317-3979

Fax(954) 317-3331

Sole ProprietorYes

Enumeration DateAugust 7, 2014

✔ NPI 1144639899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in FL · AL12547

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

6839 NW 15TH ST, Plantation, FL 33313

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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.

ZURIEL ALF

Assisted Living Facility

6839 NW 15TH ST
PLANTATION, FL 33313

Broward County (954) 317-3662

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 Stacey Mattocks's NPI number?

The NPI number for Stacey Mattocks is 1144639899. It was assigned to this individual provider in the NPPES registry on August 7, 2014.

Where is Stacey Mattocks located?

Stacey Mattocks practices at 6839 NW 15th St, Plantation, FL 33313. The listed phone number is (954) 317-3979.

What is Stacey Mattocks's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Stacey Mattocks was last updated on August 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.