Provider Demographics
NPI:1649061839
Name:TOHONO O'ODHAM NURSING CARE AUTHORITY
Entity type:Organization
Organization Name:TOHONO O'ODHAM NURSING CARE AUTHORITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:
Authorized Official - Last Name:WILKOFF
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:520-585-5500
Mailing Address - Street 1:HC 1 BOX 9100
Mailing Address - Street 2:
Mailing Address - City:SELLS
Mailing Address - State:AZ
Mailing Address - Zip Code:85634-9744
Mailing Address - Country:US
Mailing Address - Phone:520-585-5500
Mailing Address - Fax:520-585-5510
Practice Address - Street 1:FEDERAL ROUTE 15
Practice Address - Street 2:MILEPOST 9
Practice Address - City:SELLS
Practice Address - State:AZ
Practice Address - Zip Code:85634
Practice Address - Country:US
Practice Address - Phone:520-585-5500
Practice Address - Fax:520-585-5510
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARCHIE HENDRICKS SR SKILLED NURSING FACILITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty