Hacienda Hcbs

LBN: Hacienda Inc
Hacienda Hcbs is an health care organization with primary practice located at 1402 E South Mountain Ave , Phoenix AZ 85042-7925. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Custodial Care Facility, Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded. Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded is the primary health care specialty. Hacienda Inc can be contacted via phone (602) 243-4231, or through Newport, Barbara via phone (602) 243-4231.

Contact Information

Primary practice address
1402 E South Mountain Ave Phoenix AZ 85042-7925
Phone: (602) 243-4231
Fax: (602) 323-5988
Website:
Map and Directions
Authorized official contact:
Name: Newport, Barbara
Phone: (602) 243-4231

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Custodial Care Facility 311Z00000X DDH1558 Arizona
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1841513413
LBN Legal business name Hacienda Inc
DBA Doing business as Hacienda Hcbs
Authorized official Newport, Barbara
Entity Organization
Organization subpart 1 No
Enumeration date Mar 10th, 2010
Last updated Nov 9th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841513413 NPPES
Arizona MEDICAID 040064
Arizona MEDICAID 075368

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