Healthcare Provider Details

I. General information

NPI: 1578440442
Provider Name (Legal Business Name): JOYOUS VENTURES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2025
Last Update Date: 08/20/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1012 1/2 S. HERBERT AVE.
LOS ANGELES CA
90023
US

IV. Provider business mailing address

335 E. ALBERTONI ST. STE. 200 #405
CARSON CA
90746
US

V. Phone/Fax

Practice location:
  • Phone: 323-604-9005
  • Fax:
Mailing address:
  • Phone: 323-604-9005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. JUATAUN MARK
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 323-659-8517