Hacienda Skilled Nursing Facility, Inc.
NPI 1710976956 · Skilled Nursing Facility · Phoenix, AZ
Hacienda Skilled Nursing Facility, Inc. is a Skilled Nursing Facility organization in Phoenix, AZ (NPI 1710976956).
Provider details
- NPI number
- 1710976956
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Dale Skurdahl, Chief Operating Officer - Med Serv.(602) 243-4231
- License
- NCI-2617 (AZ)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Hacienda, Inc.
Registry dates
- Enumerated
- 2005-10-20
- Last updated
- 2020-08-22
Frequently asked questions
- What is Hacienda Skilled Nursing Facility, Inc.'s NPI number?
- Hacienda Skilled Nursing Facility, Inc.'s National Provider Identifier (NPI) is 1710976956, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Hacienda Skilled Nursing Facility, Inc.?
- Hacienda Skilled Nursing Facility, Inc. is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Hacienda Skilled Nursing Facility, Inc. located?
- Hacienda Skilled Nursing Facility, Inc.'s practice location on file with NPPES is 1402 E South Mountain Ave, Phoenix, AZ 85042-7925.
- What is Hacienda Skilled Nursing Facility, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Hacienda Skilled Nursing Facility, Inc. is (602) 243-4231.
- Who is the authorized official for Hacienda Skilled Nursing Facility, Inc.?
- The authorized official listed on Hacienda Skilled Nursing Facility, Inc.'s NPPES record is Dale Skurdahl, Chief Operating Officer - Med Serv.. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Hacienda Skilled Nursing Facility, Inc.'s NPI active?
- Yes — Hacienda Skilled Nursing Facility, Inc.'s NPI (1710976956) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.