Hacienda

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SLP0587 Issued in AZ

Legal business name

HACIENDA

Practice address

660 S Coronado Dr
Sierra Vista, AZ 85635-3386

Phone

(520) 459-4900

NPI assigned

Oct 17, 2011

Organization subpart

No

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

Authorized official

Name

Emily Plamondon

Title

SLP

Phone

(520) 459-4900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1639454036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S CORONADO DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856353386",
            "telephone_number": "520-459-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S CORONADO DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856353386",
            "telephone_number": "520-459-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACIENDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "PLAMONDON",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "SLP",
        "authorized_official_telephone_number": "520-459-4900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "SLP0587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwynn R Patterson MD PLLC
• H2Change LLC
• Emily Eileen Haberer, PHARMD
• Karina Paola Habet
• Seyed Sohail Habibi Pasdar, M.D.
• Roland Haj, D.O.
• Erick Allan Haldorson, FNP
• Kent A Hales, DDS
• Ashley Halstead, HADE
• Riley Paul Hamel, DO

• Skilled Nursing Facility in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.