Tohono O'Odham Hospice

LBN: Archie Hendricks Sr Skilled Nursing Facility
Tohono O'Odham Hospice is an health care organization with primary practice located at Hc 01 Box 9100 , Sells AZ 85634. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Archie Hendricks Sr Skilled Nursing Facility can be contacted via phone (520) 361-1800, or through Olitzky, Lee H via phone (520) 361-1800.

Contact Information

Primary practice address
Hc 01 Box 9100 Sells AZ 85634
Phone: (520) 361-1800
Fax: (520) 361-3656
Website:
Map and Directions
Authorized official contact:
Name: Olitzky, Lee H
Phone: (520) 361-1800

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1073503777
LBN Legal business name Archie Hendricks Sr Skilled Nursing Facility
DBA Doing business as Tohono O'Odham Hospice
Authorized official Olitzky, Lee H
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2005
Last updated Sep 24th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073503777 NPPES
Arizona MEDICAID 917651

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