Hacienda Inc
NPI 1841513413ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Phoenix, AZ
Intermediate Care Facility, Intellectual Disabilities in Phoenix, Arizona, registered in NPPES in March 2010. The authorized official on file is Perry Petrilli, Ceo.
Overview
| NPI | 1841513413 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 10, 2010 |
| Last updated in NPPES | Feb 13, 2025 |
| Certified by provider | Feb 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | — | — |
| Custodial Care Facility | 311Z00000X | DDH1558 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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