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Hacienda Inc
Intellectual Disabilities Intermediate Care Facility in Phoenix, Arizona
NPI 1841513413

Hacienda Inc is a Intellectual Disabilities Intermediate Care Facility based in Phoenix, AZ. Hacienda Inc practices in Phoenix, AZ. The NPI Number for Hacienda Inc is 1841513413 and holds a License No. DDH1558 (Arizona).

The current practice location address for Hacienda 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
1841513413
Provider Name
Hacienda 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
03/10/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
040064 05 AZ
075368 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
Custodial Care Facility
Speciality
-
Taxonomy
311Z00000X
License No.
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Definition
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
DDH1558 (Arizona)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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