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NPI Code Detail

MEDICARE: HACIENDA CARE VI LP

MEDICARE: HACIENDA CARE VI LP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing FacilitySNF1592096FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376525105
Entity Type Code : Organization
Provider Name (Legal Business Name) : HACIENDA CARE VI LP
Provider Business Mailing Address
First Line : 5420 W PLANO PKWY
Second Line :
City : PLANO
State : TX
Zip : 75093-4823
Country : US
Telephone Number : 972-931-3800
Fax Number : 972-767-6222
Provider Business Practice Location Address
First Line : 2525 SW 75TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33155-2800
Country : US
Telephone Number : 305-265-9391
Fax Number : 305-265-5021
Authorized Official
Title or Position : DIRECTOR OF REIMBURSEMENT
Name : MRS. JAMIE LATTURE COLLIER
Credential :
Telephone Number : 972-931-3800
Provider Enumeration Date : 11/17/2005
Last Update Date : 07/11/2016

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Directions to “HACIENDA CARE VI LP ” Practice Location

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