Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Hacienda Skilled Nursing Facility, Inc.

Skilled Nursing Facility in Phoenix, AZ · enumerated 2005 · authorized official Dale Skurdahl, Chief Operating Officer - Med Serv..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710976956

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Registry record

Entity type Organization (Type 2)

Legal business name Hacienda Skilled Nursing Facility, Inc.

Other name <Unavail>

Practice address 1402 E South Mountain Ave, Phoenix, AZ, 85042

Phone (602) 243-4231

Fax (602) 323-5988

Enumeration date Oct 20, 2005

Last updated in NPPES Aug 22, 2020

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License NCI-2617 (AZ) Primary

Authorized official

Name Dale Skurdahl

Title Chief Operating Officer - Med Serv.

Phone (602) 243-4231

Other identifiers

Identifier	Type	State	Issuer
544032	Medicaid	AZ	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Hacienda Skilled Nursing Facility, Inc. located?

The practice location on file with NPPES is in Phoenix, AZ.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.