ARCHIE HENDRICKS SR SKILLED NURSING FACILITY NPI 1962810127

NPI Information

  • NPI: 1962810127
  • Provider Name: ARCHIE HENDRICKS SR SKILLED NURSING FACILITY
  • Classification: Clinic/Center - 261QR0400X
  • Specialization: Rehabilitation
  • Entity Type: Organization
  • Doing Business As: ARCHIE HENDRICKS OUTPATIENT REHAB
  • CLIA Number: 03D1017965
  • Address: FEDERAL ROUTE 15 MILEPOST 9
    SELLS, AZ
    ZIP 85634
  • Phone: (520) 585-5500

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NPI Details

ARCHIE HENDRICKS SR SKILLED NURSING FACILITY is a rehabilitation clinic center in Sells, AZ. ARCHIE HENDRICKS SR SKILLED NURSING FACILITY NPI is 1962810127. The provider is registered as an organization entity type.
The provider Is Doing Business As Archie Hendricks Outpatient Rehab.

The provider's business location address is:

FEDERAL ROUTE 15 MILEPOST 9
SELLS, AZ
ZIP 85634-744
Phone: (520) 585-5500
Fax: (520) 585-5500

The provider's authorized official is James A Chaston .
The authorized official title is Cfo/business Office Director and has the following contact phone number (520) 585-5500.

The CLIA number assigned to this NPI record is 03D1017965 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2014 and was last updated on 10/28/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0400XClinic/CenterRehabilitationTRIBAL SERVICEARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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