NPI
Hacienda Inc
Doing business as Hacienda Hcbs. Phone (602) 243-4231 · Fax (602) 323-5988 · NPI 1841513413
Read from the NPPES registry on October 25, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2010-03-10
- Last updated
- 2025-02-13
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Specialties
Licenses
- License AZ
- DDH1558
Location
- Practice location
- 1402 E South Mountain Ave
- City
- Phoenix AZ
- Postal code
- 85042-7925
- Phone
- (602) 243-4231
- Fax
- (602) 323-5988
Organization contact
- Name
- Perry Petrilli
- Title
- CEO
- Phone
- (602) 243-4231
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Intermediate Care Facility, Intellectual Disabilities providers in Phoenix, AZ. 7 with this primary taxonomy in the public file.
Other NPIs in Phoenix, AZ. 44,026 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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