Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Hacienda Skilled Nursing Facility

Non-emergency Medical Transport (VAN) in Phoenix, AZ · enumerated 2009 · authorized official Dale Skurdahl, Chief Operating Officer.

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

National Provider Identifier

1831322676

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Hacienda Skilled Nursing Facility

Other name <Unavail>

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

Phone (602) 243-4231

Fax (602) 323-5988

Enumeration date Aug 27, 2009

Last updated in NPPES Aug 27, 2009

Taxonomy & classification

3140N1450X Pediatric Skilled Nursing Facility Nursing & Custodial Care Facilities · License LTC 0195 (AZ) Secondary

343900000X Non-emergency Medical Transport (VAN) Transportation Services · License LTC 0195 (AZ) Primary

Authorized official

Name Dale Skurdahl

Title Chief Operating Officer

Phone (602) 243-4231

Other identifiers

Identifier	Type	State	Issuer
544032	Medicaid	AZ	-
LTC 0195	Other	AZ	STATE LICENSE
03D1096517	Other	AZ	CLIA

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.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Hacienda Skilled Nursing Facility?

Hacienda Skilled Nursing Facility is registered in NPPES as a Non-emergency Medical Transport (VAN) (its primary provider taxonomy).

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-08-27.