Mayberry Senior Services LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

MAYBERRY SENIOR SERVICES LLC

Practice address

5528 Eubank Blvd NE Ste 1
Albuquerque, NM 87111-1500

Phone

(505) 271-0000

Fax

(505) 212-4282

NPI assigned

Oct 14, 2022

Organization subpart

No

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

Authorized official

Name

Jessica Lager

Title

Ceo

Phone

(505) 271-0000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1154047751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5528 EUBANK BLVD NE STE 1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111500",
            "telephone_number": "505-271-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5528 EUBANK BLVD NE STE 1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111500",
            "telephone_number": "505-271-0000",
            "fax_number": "505-212-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYBERRY SENIOR SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "LAGER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-271-0000"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Kay May, LMT
• Chloe May
• Karen L May
• Lauren E May, MA CCC-SLP
• Maude Sush May, RN
• Aaron J Mayberry, MD, FACS
• Dustin Mayberry, PHARMD
• Janine Maydew
• Ryan Maydew
• Andrew Mayer, PH.D.

• Adult Day Care Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Adult Day Care Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.