Mayberry'S

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MAYBERRY'S

Practice address

14516 Tacuba Dr
La Mirada, CA 90638-2043

Phone

(310) 650-0545

NPI assigned

Jun 17, 2025

Organization subpart

No

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

Authorized official

Name

Debra Ballou-Harding

Title

Owner

Phone

(310) 650-0545

Specialties & licenses 5

Addresses

Other names 1

• Love beyond Words Residential Care Doing business as

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1629964341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6296",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907146296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14516 TACUBA DR",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906382043",
            "telephone_number": "310-650-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYBERRY'S",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "BALLOU-HARDING",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-650-0545"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Love beyond Words Residential Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine A Martinez
• Mark Martinez
• Romelia Marttini, LVN
• Mary H. Patuwo DDS, Inc.
• Michael David Mauro, D.O.
• Bob E. McClure, M.D.
• Med Site Hacienda Heights
• Medcare Plus Home Health Provider
• Meditech Solutions
• Mehdi Motakef D.D.S., M.S. Inc.

• Assisted Living Facility in La Mirada, CA
• Providers in La Mirada, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.