1003189853 NPI number — ADRIANA'S ROUND-THE-CLOCK LLC

Table of content: (NPI 1003189853)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003189853 NPI number — ADRIANA'S ROUND-THE-CLOCK LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ADRIANA'S ROUND-THE-CLOCK LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003189853
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/09/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7630 W JOHN CABOT RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GLENDALE
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85308-8231
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
602-300-6821
Provider Business Mailing Address Fax Number:
480-304-3100

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7630 W JOHN CABOT RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GLENDALE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85308-8231
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-300-6821
Provider Business Practice Location Address Fax Number:
480-304-3100
Provider Enumeration Date:
02/09/2012

Additional Information

Authorized Official

Authorized Official Last Name:
CIUBOTARU
Authorized Official First Name:
CRISTINA
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
602-300-6821

Provider Taxonomy Codes

  • Taxonomy code: 311ZA0620X , with the licence number:  AL5285H , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 09669 . This is a "BOARD OF NURSING MANAGER CERTIFICATE LICENSE" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".




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