TOHONO O'ODHAM HOSPICE
NPI 1073503777
Skilled Nursing Facility in Sells, AZ

Active since October 24, 2005CLIA 03D1017965 · Waiver
HC 01 BOX 9100, SELLS, AZ 85634(520) 361-1800(520) 361-3656 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tohono O'odham Hospice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TOHONO O'ODHAM HOSPICE (NPI 1073503777) is a healthcare organization registered as a skilled nursing facility in Sells, Arizona and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through October 8, 2027 and lists Ross Wilkoff, Administrator, as its authorized official.

NPPES Registry Identity

NPI1073503777
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameARCHIE HENDRICKS SR SKILLED NURSING FACILITY
Location AddressHC 01 BOX 9100Sells, AZ 85634
Mailing AddressHc 01 Box 9100Sells, AZ 85634 · (520) 585-5500 · Fax (520) 585-5510
Fax(520) 361-3656
Organization SubpartNo
Authorized OfficialRoss WilkoffAdministrator · (520) 585-5500
Enumeration DateOctober 24, 2005
Last NPPES UpdateSeptember 25, 2024
NPPES CertifiedSeptember 25, 2024
NPI 1073503777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

HC 01 BOX 9100, Sells, AZ 85634

Other Names 1

Doing Business AsTohono O'odham Hospice

Other Identifiers 1

Medicaid917651AZ

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D1017965

Archie Hendricks Sr Skilled Nursing Facility · Sells, AZ
Active · expires Oct 8, 2027
CLIA Number03D1017965
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateOctober 9, 2025
Certificate Expiration DateOctober 8, 2027
Laboratory DirectorTheresa Ratliff
Laboratory Phone(520) 361-1800
Laboratory LocationArchie Hendricks Sr Skilled Nursing FacilityBia Federal Hwy 15/Milepost 9, Sells, AZ 85634
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Archie Hendricks Sr Skilled Nursing Facility's NPI number?

The NPI number for Archie Hendricks Sr Skilled Nursing Facility is 1073503777. It was assigned to this organization in the NPPES registry on October 24, 2005. The provider is doing business as Tohono O'odham Hospice.

Where is Archie Hendricks Sr Skilled Nursing Facility located?

Archie Hendricks Sr Skilled Nursing Facility is located at Hc 01 Box 9100, Sells, AZ 85634. The listed phone number is (520) 361-1800.

What is Archie Hendricks Sr Skilled Nursing Facility's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Archie Hendricks Sr Skilled Nursing Facility hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1017965) is associated with this NPI, valid through October 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Archie Hendricks Sr Skilled Nursing Facility accept?

Health plans from Blue Cross Blue Shield of Arizona list Archie Hendricks Sr Skilled Nursing Facility as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Archie Hendricks Sr Skilled Nursing Facility was last updated on September 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.