Hacienda Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HACIENDA HOME HEALTH CARE INC

Practice address

5541 E Grant Rd
Tucson, AZ 85712-2209

Phone

(520) 269-6091

Fax

(520) 308-3854

NPI assigned

Aug 17, 2017

Organization subpart

No

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

Authorized official

Name

Vivian Ruth Uhlig, CPA

Title

Administrator

Phone

(520) 269-6091

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Home health agency certification: CCN 037475

Legal name

HACIENDA HOME HEALTH CARE INC

Doing business as

HACIENDA HOME HEALTH CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 9, 2018

Last certification

Apr 27, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jun 6, 2016 in AZ

Enrollment address

5551 E Grant Rd
Tucson, AZ 85712-2209

Listed as

Hacienda Home Health Care IncCCN 037475

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

Mar 9, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1386160695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12767",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857322767",
            "telephone_number": "520-615-8181",
            "fax_number": "520-308-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5541 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122209",
            "telephone_number": "520-269-6091",
            "fax_number": "520-308-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACIENDA HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "UHLIG",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "520-269-6091",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roshanak Habibi, M.D.
• Mohammad Reza Habibzadeh, M.D.
• Mohamad Najmeddin Haboukh, M.D.
• Jean H Habyarimana, RBT
• Elizabeth Hachenberg, LAC.
• Ashley Hack, NP
• Jami Lea Hack, CRNA
• Jacob Hackbarth, RBT
• David W Hacker, DPT
• Erika J Hackett, D.C.

• Home Health Agency in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.