Hacienda Inc in Phoenix - Intermediate Care Facility, Intellectual Disabilities
Hacienda Inc - NPI 1417178724
Hacienda Inc is a Intermediate Care Facility, Intellectual Disabilities in Phoenix, Arizona. Hacienda Inc practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Hacienda Inc is 1417178724. The last update date is 2020-11-09.
Hacienda Inc's current location address is 1402 E South Mountain Ave, Phoenix, Arizona. You can contact this provider via phone number 6022434231 and fax number 6023235988. The mailing address for Hacienda Inc is 1402 E South Mountain Ave, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Hacienda Inc |
|---|---|
| Address | 1402 E South Mountain Ave, Phoenix, Arizona |
| Phone Number | 6022434231 |
| Fax Number | 6023235988 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CREDENTIAL |
|---|---|
| Authorized Official Name | Newport Barbara |
| Telephone Number | 6025103514 |
NPI Number Detail
| NPI Number | 1417178724 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2020-11-09 |
Provider Mailing Address Detail
| Address | 1402 E South Mountain Ave |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850427925 |
| Phone Number | 6022434231 |
| Fax Number | 6023235988 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | LTC0176 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ICF001 | AZ | -- | |
| 40064 | AZ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Hacienda Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Hacienda Inc has been assigned the NPI (National Provider Identifier) 1417178724. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Hacienda Inc's facilities are situated?
The facilities of Hacienda Inc are physically located at the following address: 1402 E South Mountain Ave, Phoenix, AZ, 850427925.
What is Hacienda Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Hacienda Inc is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy code that classifies this field of practice is 315P00000X.
When was the Hacienda Inc's 1417178724 issued?
The Hacienda Inc's 1417178724 was issued on 2007-05-02.
As of what date were the Hacienda Inc's details last updated?
The information pertaining to the Hacienda Inc, including its address, specialty, and other details, was most recently updated on 2020-11-09.