Hacienda Crossing LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HACIENDA CROSSING LLC

Practice address

10565 S Commercial Centre Loop
Yuma, AZ 85367-4501

Phone

(928) 256-5012

NPI assigned

Oct 13, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Ronald Ziebart

Title

Managing Member

Phone

(503) 363-4636

Specialties & licenses 1

Addresses

Other names 1

• Ativo Senior Living of Yuma Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1104608231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10565 S COMMERCIAL CENTRE LOOP",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853674501",
            "telephone_number": "928-256-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10565 S COMMERCIAL CENTRE LOOP",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853674501",
            "telephone_number": "928-256-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACIENDA CROSSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-13",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "ZIEBART",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "503-363-4636",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ativo Senior Living of Yuma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Noel Gutierrez, M.D.
• Zul Gutierrez, RDN
• Kaleena Amber Guyette, OTR/L
• Cindy Roxann Guzman, CCCE
• Sabrina Guzman, LCSW
• Daniel Haddad, DO
• Michael Joseph Haddad, DO
• Nader M Haddad, MD
• Cynthia Faye Hale, NP
• Katelyn Faucette Hall, FNP

• Assisted Living Facility in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.