Provider Demographics
NPI:1003189853
Name:ADRIANA'S ROUND-THE-CLOCK LLC
Entity Type:Organization
Organization Name:ADRIANA'S ROUND-THE-CLOCK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CIUBOTARU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-300-6821
Mailing Address - Street 1:7630 W JOHN CABOT RD
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-8231
Mailing Address - Country:US
Mailing Address - Phone:602-300-6821
Mailing Address - Fax:480-304-3100
Practice Address - Street 1:7630 W JOHN CABOT RD
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-8231
Practice Address - Country:US
Practice Address - Phone:602-300-6821
Practice Address - Fax:480-304-3100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-09
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAL5285H311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ09669OtherBOARD OF NURSING MANAGER CERTIFICATE LICENSE