NPIMap

Organization Active NPI

Archie Hendricks Sr Skilled Nursing Facility

Doing business as Tohono O'Odham Hospice

  • Community Based Hospice Care Agency
  • Sells, AZ
National Provider Identifier
1962653535
Registry record updated Sep 27, 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 FACILITY
Doing business as
Tohono O'Odham Hospice
Practice address
Milepost 9 Federal Route 15
Sells, AZ 85634-9744
Phone
(520) 585-5500
Fax
(520) 585-5510
NPI assigned
Oct 1, 2008
Last updated
Sep 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 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 Primary

Addresses

Primary practice location

Milepost 9 Federal Route 15
Sells, AZ 85634-9744

Mailing address

HC01 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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1962653535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC01 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": "MILEPOST 9 FEDERAL ROUTE 15",
            "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 FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2024-09-27",
        "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": null,
            "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 27, 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.