# KINDRED NURSING CENTERS WEST, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kindred Nursing and Rehabilitation-Hacienda
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508943283
- **Authorized official:** MS. MARILYN A. WEAVER (ASSISTANT SECRETARY)
- **Authorized official phone:** (502) 596-7563

## Contact information

- **Practice address:** 660 S CORONADO DR, SIERRA VISTA, AZ 85635-3386
- **Practice address phone:** (520) 459-4900
- **Practice address fax:** (520) 458-4082
- **Mailing address:** 680 S 4TH ST \# KH-2, LOUISVILLE, KY 40202-2407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NCI-338 | AZ | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 11/29/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 266354 | UNITED HEALTHCARE | AZ |
| 01 | — | 633489 | MERCY CARE | AZ |
| 05 | — | 633489 | — | AZ |
| 01 | — | AZ0207100 | BLUE CROSS/BLUE SHIELD AZ | AZ |