MG Al Denton LLC Dba Mayberry Gardens

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MG AL DENTON LLC DBA MAYBERRY GARDENS

Practice address

3636 Teasley LN
Denton, TX 76210-8470

Phone

(940) 600-4178

NPI assigned

Aug 27, 2019

Organization subpart

No

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

Authorized official

Name

Adrian Hewitt

Title

Owner

Phone

(972) 213-8135

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1447808134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 TEASLEY LN",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762108470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 TEASLEY LN",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762108470",
            "telephone_number": "940-600-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MG AL DENTON LLC DBA MAYBERRY GARDENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "HEWITT",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-213-8135"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Denton, TX
• Providers in Denton, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.