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Hacienda Skilled Nursing Facility, Inc.
Skilled Nursing Facility in Phoenix, Arizona
NPI 1710976956

Hacienda Skilled Nursing Facility, Inc. is a Skilled Nursing Facility based in Phoenix, AZ. Hacienda Skilled Nursing Facility, Inc. practices in Phoenix, AZ. The NPI Number for Hacienda Skilled Nursing Facility, Inc. is 1710976956 and holds a License No. NCI-2617 (Arizona).

The current practice location address for Hacienda Skilled Nursing Facility, Inc. is 1402 E South Mountain Ave, Phoenix, AZ and can be reached out via phone at 602-243-4231 and via fax at 602-323-5988.

Location: 1402 E South Mountain Ave, Phoenix, AZ, 85042-7925
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710976956
Provider Name
Hacienda Skilled Nursing Facility, Inc.
Credential
Provider Entity Type
Organization
Address
1402 E South Mountain Ave, Phoenix, AZ, 85042-7925
Phone Number
602-243-4231
Fax Number
602-323-5988
Provider Enumeration Date
10/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
544032 05 AZ
institution
Provider Business Practice Location Address Details
Address
1402 E South Mountain Ave
City
Phoenix
State
Arizona
Zip
85042-7925
Phone Number
602-243-4231
Fax Number
602-323-5988
person
Provider Business Mailing Address Details
Address
1402 E South Mountain Ave
City
Phoenix
State
Arizona
Zip
85042-7925
Phone Number
602-243-4231
Fax Number
602-323-5988
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
NCI-2617 (Arizona)
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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