Archie Hendricks Sr Skilled Nursing Facility
NPI 1073503777ActiveOrganization· Skilled Nursing Facility· Sells, AZ
Skilled Nursing Facility in Sells, Arizona, registered in NPPES in October 2005. The authorized official on file is Ross Wilkoff, Administrator. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1073503777 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 24, 2005 |
| Last updated in NPPES | Sep 25, 2024 |
| Certified by provider | Sep 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (AZ) |
|---|