Hacienda Post Acute, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

040000101 Issued in CA

Legal business name

HACIENDA POST ACUTE, INC.

Practice address

361 E Grangeville Blvd
Hanford, CA 93230-3054

Phone

(559) 582-9221

Fax

(559) 582-8955

NPI assigned

Jul 19, 2005

Last updated

Sep 5, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Donna F Stotts

Title

Vice President

Phone

(714) 778-0221

Specialties & licenses 1

Addresses

Other identifiers 1

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

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567641600000",
    "number": "1679572929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 S STATE COLLEGE BLVD",
            "address_2": "SUITE 2A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928065724",
            "telephone_number": "714-778-0221",
            "fax_number": "714-778-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 E GRANGEVILLE BLVD",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303054",
            "telephone_number": "559-582-9221",
            "fax_number": "559-582-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACIENDA POST ACUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2019-09-05",
        "status": "A",
        "authorized_official_last_name": "STOTTS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "714-778-0221",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "040000101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC05410F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Hanford, CA
• Providers in Hanford, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.