Organization · Type 2 NPI
Mayberry's
Assisted Living Facility · La Mirada, CA
NPI number
1629964341
Active
Practice location
14516 Tacuba Dr
La Mirada, CA 90638-2043
Mailing address
PO Box 6296
Lakewood, CA 90714-6296
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
| Assisted Living Facility (Mental Illness) | 3104A0625X | None listed |
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | None listed |
| Adult Care Home Facility | 311ZA0620X | None listed |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | None listed |
Assisted Living Facility: 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.
Another provider at this address
Other assisted living facility providers in La Mirada
- De Honor Family CorporationAssisted Living Facility La Mirada, CA NPI 1083341648
- Crown Manor CampillosAssisted Living Facility La Mirada, CA NPI 1447968474
- Holy Home 2020 Inc.Assisted Living Facility La Mirada, CA NPI 1497472757
- The Hibiscus Home LLCAssisted Living Facility La Mirada, CA NPI 1699563510
About NPI 1629964341
Mayberry's's National Provider Identifier is 1629964341, issued on Jun 17, 2025. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in La Mirada, CA. The record was last updated on Jun 17, 2025.