Organization Active NPI

Berry Assisted Living LLC

  • Contractor
  • Dallas, TX
National Provider Identifier
1023630332
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
BERRY ASSISTED LIVING LLC
Practice address
2411 Catherine St Ste a
Dallas, TX 75211-5326
Phone
(972) 342-8527
Fax
(972) 286-8330
NPI assigned
May 8, 2020
Last updated
Jun 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Juana BerryNPI 1639727522
Title
Program Manager
Phone
(972) 342-8527

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X NU
Contractor 171W00000X NU Primary

Addresses

Primary practice location

2411 Catherine St Ste a
Dallas, TX 75211-5326

Mailing address

2411 Catherine St Ste a
Dallas, TX 75211-5326
Phone (972) 342-8527

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1023630332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 CATHERINE ST STE A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752115326",
            "telephone_number": "972-342-8527",
            "fax_number": "972-286-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 CATHERINE ST STE A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752115326",
            "telephone_number": "972-342-8527",
            "fax_number": "972-286-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERRY ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-08",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "JUANA",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "972-342-8527"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.