NPIMap

Organization Active NPI

Archie Hendricks Sr. Skilled Nursing Fascility

Doing business as Tohono O'odham Hospice

  • Community Based Hospice Care Agency
  • Sells, AZ
National Provider Identifier
1093838658
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ARCHIE HENDRICKS SR. SKILLED NURSING FASCILITY
Doing business as
Tohono O'odham Hospice
Practice address
Federal Route 15 Mile Post 9
Sells, AZ 85634-9744
Phone
(520) 585-5500
Fax
(520) 585-5510
NPI assigned
Apr 9, 2007
Last updated
Sep 25, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ARCHIE HENDRICKS SR. SKILLED NURSING FACILITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ross Wilkoff
Title
Administrator
Phone
(520) 585-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

Federal Route 15 Mile Post 9
Sells, AZ 85634-9744

Mailing address

HC 1 Box 9100
Sells, AZ 85634-9744
Phone (520) 585-5500

Other names 1

  • Tohono O'odham Hospice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Archie Hendricks Sr Skilled Nursing Facility3 organizations share this tax ID, including this one
Part of
Archie Hendricks Sr Skilled Nursing Facility

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1093838658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 9100",
            "city": "SELLS",
            "state": "AZ",
            "postal_code": "856349744",
            "telephone_number": "520-585-5500",
            "fax_number": "520-585-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FEDERAL ROUTE 15 MILE POST 9",
            "city": "SELLS",
            "state": "AZ",
            "postal_code": "856349744",
            "telephone_number": "520-585-5500",
            "fax_number": "520-585-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHIE HENDRICKS SR. SKILLED NURSING FASCILITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARCHIE HENDRICKS SR. SKILLED NURSING FACILITY",
        "enumeration_date": "2007-04-09",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "WILKOFF",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "520-585-5500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tohono O'odham Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sells, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.