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MAYBERRY GARDENS
NPI 1790309482
Assisted Living Facility in Grand Prairie, TX

Active since May 29, 2020
540 E POLO RD BLDG 3, GRAND PRAIRIE, TX 75052(972) 975-9044 Get Directions Write a Review

NPPES record last updated: June 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 10, 2020, May 29, 2020 (2 updates tracked since 2020).

About Mayberry Gardens NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAYBERRY GARDENS (NPI 1790309482) is a healthcare organization registered as an assisted living facility in Grand Prairie, Texas and active in the NPI registry since May 2020. The organization lists Adrian Hewitt, Owner, as its authorized official.

NPPES Registry Identity

NPI1790309482
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMG AL GRAND PRAIRIE LLC
Location Address540 E POLO RD BLDG 3Grand Prairie, TX 75052-3503
Mailing Address3272 N Garland AveGarland, TX 75040-3207
Phone(972) 975-9044
Organization SubpartNo
Authorized OfficialAdrian HewittOwner · (972) 213-8135
Enumeration DateMay 29, 2020
Last NPPES UpdateJune 10, 20202 updates tracked since enumeration
NPPES CertifiedJune 10, 2020
✔ NPI 1790309482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
540 E POLO RD BLDG 3, Grand Prairie, TX 75052
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Other Names 1

Doing Business AsMayberry Gardens

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mg Al Grand Prairie LLC's NPI number?

The NPI number for Mg Al Grand Prairie LLC is 1790309482. It was assigned to this organization in the NPPES registry on May 29, 2020. The provider is doing business as Mayberry Gardens.

Where is Mg Al Grand Prairie LLC located?

Mg Al Grand Prairie LLC is located at 540 E Polo Rd Bldg 3, Grand Prairie, TX 75052. The listed phone number is (972) 975-9044.

What is Mg Al Grand Prairie LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Mg Al Grand Prairie LLC was last updated on June 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.