Hacienda Inc
Hacienda Inc is a healthcare organization registered as Intellectual Disabilities Intermediate Care Facility in Phoenix, AZ, holding Type 2 (organization) NPI 1841513413 since 2010. The authorized official on file is Perry Petrilli, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1841513413 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Hacienda Inc |
| Other name | <Unavail> |
| Practice address | 1402 E SOUTH MOUNTAIN AVE, Phoenix, AZ, 85042 |
| Phone | 6022434231 |
| Fax | 6023235988 |
| Enumeration date | 2010-03-10 |
| Last updated in NPPES | 2025-02-13 |
Authorized official
| Name | Perry Petrilli |
|---|---|
| Title | Ceo |
| Phone | 6022434231 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 311Z00000X | Custodial Care Facility | Secondary | DDH1558 | AZ |
| 315P00000X | Intellectual Disabilities Intermediate Care Facility | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040064 | Medicaid | AZ | — |
| 075368 | Medicaid | AZ | — |
Copy-ready billing details
Provider: Hacienda Inc NPI: 1841513413 Taxonomy: 315P00000X (Intellectual Disabilities Intermediate Care Facility) Address: 1402 E SOUTH MOUNTAIN AVE, Phoenix, AZ, 85042
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1710976956 | Hacienda Skilled Nursing Facility, Inc. | Organization | Skilled Nursing Facility | Phoenix, AZ |
| 1629163878 | Los Ninos Hospital Inc | Organization | Oxygen Equipment & Supplies (DME) | Phoenix, AZ |
| 1578605671 | Marrene Peacher | Individual | Occupational Therapist | Phoenix, AZ |
| 1518001783 | Miriam Alfaro | Individual | Physical Therapist | Phoenix, AZ |
| 1417178724 | Hacienda Inc | Organization | Intellectual Disabilities Intermediate Care Facility | Phoenix, AZ |
| 1093986291 | Viviana Montalvan | Individual | Occupational Therapist | Phoenix, AZ |
| 1962677674 | Dale Heinz | Individual | Occupational Therapist | Phoenix, AZ |
| 1841440211 | Miranda Roberts | Individual | Speech-Language Pathologist | Phoenix, AZ |
Verify this record
Cross-check NPI 1841513413 against the authoritative CMS record: view Hacienda Inc on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Hacienda Inc located?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2025-02-13.