Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Hacienda Skilled Nursing Facility, Inc

Organization Skilled Nursing Facility · NPI 1710976956

Hacienda Skilled Nursing Facility, Inc is a Skilled Nursing Facility in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2005.

Licensed in
AZ
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1402 E South Mountain Ave
Phoenix, AZ 85042-7925
Phone: (602) 243-4231
Fax: (602) 323-5988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence NCI-2617 (AZ)

Record details

NPI number1710976956
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dale Skurdahl — Chief Operating Officer - Med Serv. · (602) 243-4231
Other names Hacienda, Inc.
NPI enumeratedOctober 20, 2005
Last updated in NPPESAugust 22, 2020
Mailing address1402 E South Mountain Ave, Phoenix, AZ 85042-7925

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