1. Home
  2. Directory
  3. New York
  4. Bronx
  5. Respite Care
  6. NPI Profile

TIARA MATTOX
NPI 1194477901
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities in Bronx, NY

Active since January 23, 2022
120 CASALS PL APT 13C, BRONX, NY 10475(917) 639-8277 Get Directions Write a Review

NPPES record last updated: January 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tiara Mattox NPPES

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

TIARA MATTOX (NPI 1194477901) is an individual respite care, intellectual and/or developmental disabilities provider in Bronx, New York and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1194477901
Entity TypeIndividualFemale
Primary Taxonomy385HR2060X
Provider Legal NameTIARA MATTOX
Location Address120 CASALS PL APT 13CBronx, NY 10475-3138
Mailing Address120 Casals Pl Apt 13cBronx, NY 10475-3138 · (917) 639-8277
Phone(917) 639-8277
Sole ProprietorYes
Enumeration DateJanuary 23, 2022
NPPES CertifiedJanuary 23, 2022
✔ NPI 1194477901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRespite Care · Respite Care, Intellectual and/or Developmental DisabilitiesRespite Care Facility
Taxonomy Code385HR2060X
Definition
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
120 CASALS PL APT 13C, Bronx, NY 10475
Open in Google Maps ↗

Other Identifiers 1

Medicaid000000000NY

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 Tiara Mattox's NPI number?

The NPI number for Tiara Mattox is 1194477901. It was assigned to this individual provider in the NPPES registry on January 23, 2022.

Where is Tiara Mattox located?

Tiara Mattox practices at 120 Casals Pl Apt 13C, Bronx, NY 10475. The listed phone number is (917) 639-8277.

What is Tiara Mattox's specialty?

The primary specialty registered for this NPI is Respite Care, specializing in Respite Care, Intellectual and/or Developmental Disabilities, with taxonomy code 385HR2060X.

When was this NPI record last updated?

The NPPES record for Tiara Mattox was last updated on January 23, 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.