Cordia Services LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

CORDIA SERVICES LLC

Doing business as

Cordial Adult Care Home

Practice address

3626 W Hadley St
Phoenix, AZ 85009-5559

Phone

(602) 368-1725

NPI assigned

Jul 30, 2011

Last updated

Jul 30, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ricardo Diaz

Title

President

Phone

(480) 280-0442

Specialties & licenses 1

Addresses

Other names 1

• Cordial Adult Care Home Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311984000000",
    "number": "1700164308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 N 7TH AVE",
            "address_2": "SUITE 204",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133078",
            "telephone_number": "602-368-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 W HADLEY ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850095559",
            "telephone_number": "602-368-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORDIA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-30",
        "last_updated": "2011-07-30",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-280-0442",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cordial Adult Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Corderman, BCBA, M.S.
• Analiza Yu Cordero Mapili
• Dezirae R. Cordero, CNA,
• Kelly Nett Cordero, PHD, CCC SLP
• Kenneth L. Cordero, RN
• Andrea Cordoba, LPC
• Hilda Cordoba, MA LPC
• Amber Deanne Cordova, L.M.T.
• Anali Jacqueline Cordova
• Evelyn Cordova

• Adult Care Home Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Adult Care Home Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.