KINDRED- HACIENDA
NPI 1427322403
Skilled Nursing Facility in Sierra Vista, AZ
- Organization
- Skilled Nursing Facility
- CLIA Number: 03D0532024
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 08-31-2026
About KINDRED- HACIENDA
This page provides the complete NPI Profile along with additional information for Kindred- Hacienda, a provider established in Sierra Vista, Arizona operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1427322403 assigned on March 2012. The practitioner's primary taxonomy code is 314000000X with license number SLP0587 (AZ). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Marilyn Weaver (Assistant Secretary)
- NPI
- 1427322403 Verify this NPI
- Provider Name
- KINDRED- HACIENDA
- Entity Type
- Organization
- Location Address
- 660 S CORONADO DR SIERRA VISTA, AZ 85635
- Location Phone
- (520) 459-4900
- Mailing Address
- 680 S 4TH ST # KH-2 LOUISVILLE, KY 40202
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-08-2012
- Last Update Date
- 11-30-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- SLP0587
- License State
- AZ
- Taxonomy Description
- (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D0532024
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- MONICA R. VANDIVORT, MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Kindred- Hacienda to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
SIERRA VISTA, AZ 85635
SIERRA VISTA, AZ 85635
SIERRA VISTA, AZ 85635
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427322403, enumerated as an "organization" on March 08, 2012.
The provider is located at 660 S CORONADO DR SIERRA VISTA, AZ 85635 and the phone number is (520) 459-4900.
Skilled Nursing Facility with taxonomy code 314000000X.
