Provider Demographics
NPI:1285336834
Name:ABILITY ASSISTED LIVING LLC
Entity type:Organization
Organization Name:ABILITY ASSISTED LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELENA
Authorized Official - Middle Name:CRISTINA
Authorized Official - Last Name:CIUBOTARU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-300-6821
Mailing Address - Street 1:18074 W TURNEY AVE
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85395-5228
Mailing Address - Country:US
Mailing Address - Phone:602-300-6821
Mailing Address - Fax:480-304-3100
Practice Address - Street 1:18074 W TURNEY AVE
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395-5228
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:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility