Organization Active NPI

Tohono O'Odham Nursing Care Authority

  • Adult Health Nurse Practitioner
  • Sells, AZ
National Provider Identifier
1649061839
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
TOHONO O'ODHAM NURSING CARE AUTHORITY
Practice address
Federal Route 15
Milepost 9
Sells, AZ 85634
Phone
(520) 585-5500
Fax
(520) 585-5510
NPI assigned
May 15, 2025
Last updated
May 15, 2025By 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 May 15, 2025

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

Authorized official

Name
Ross Wilkoff, LNHA
Title
Administrator
Phone
(520) 585-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NU Primary

Addresses

Primary practice location

Federal Route 15
Milepost 9
Sells, AZ 85634

Mailing address

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

National Provider Directory

National Provider Directory
Part of
Archie Hendricks Sr Skilled Nursing Facility

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1649061839",
    "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",
            "address_2": "MILEPOST 9",
            "city": "SELLS",
            "state": "AZ",
            "postal_code": "85634",
            "telephone_number": "520-585-5500",
            "fax_number": "520-585-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOHONO O'ODHAM NURSING CARE AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARCHIE HENDRICKS SR SKILLED NURSING FACILITY",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-07",
        "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_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 15, 2025; 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.