BANNER HOME CARE ARIZONA (NPI# 1902159742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902159742 |
| Entity Type | Organization |
| Organization Name | BANNER HOME CARE ARIZONA |
| Practice Address |
202 E Earll Dr Ste 160 Phoenix AZ 85012-2636 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 6022790677 |
| Practice Fax Number | 6022791085 |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2013-05-09 |
| Authorized Official Name | DENNIS DAHLEN (SR VP FINANCE) |
| Authorized Official Telephone | 6027474000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BANNER HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679125009 | Banner Home Care Arizona | Durable Medical Equipment & Medical Supplies | 2140 W Broadway Rd Bldg 7, Mesa, AZ 85202-1895 | 2019-07-16 |
| 1851943286 | Banner Home Care Arizona | Durable Medical Equipment & Medical Supplies | 14131 N Rio Vista Blvd Ste 7, Peoria, AZ 85381-4917 | 2019-07-16 |
| 1467016733 | Banner Home Care Arizona | Durable Medical Equipment & Medical Supplies | 275 E Germann Rd Ste 110, Gilbert, AZ 85297-2916 | 2019-04-23 |
| 1023508694 | Banner Home Care Arizona | Durable Medical Equipment & Medical Supplies | 575 E River Rd Ste 103, Tucson, AZ 85704-5822 | 2018-05-18 |
| 1588154157 | Banner Home Care Arizona | Durable Medical Equipment & Medical Supplies | 575 E River Rd Ste 104, Tucson, AZ 85704-5822 | 2018-05-18 |
| 1013452721 | Banner Home Care Arizona | Home Health | 575 E River Rd Ste 213, Tucson, AZ 85704-5822 | 2017-01-04 |
| 1568844181 | Banner Home Care Arizona | Home Health | 708 E Route 260 Ste A1, Payson, AZ 85541 | 2015-06-19 |
| 1013322635 | Banner Home Care Arizona | Hospice, Inpatient | 275 E Germann Rd Ste 110w, Gilbert, AZ 85297-2916 | 2014-06-23 |
| 1306281076 | Banner Home Care Arizona | Hospice Care, Community Based | 8977 W Athens St, Peoria, AZ 85382-8170 | 2013-05-07 |
| 1104185214 | Banner Home Care Arizona | Hospice Care, Community Based | 2001 Gillam Way, Fairbanks, AK 99701-6026 | 2012-05-09 |
| Street Address |
202 E EARLL DR STE 160 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85012-2636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205417 | Diligence Physical Therapy and Wellness, Pllc | Physical Therapist | 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 | 2020-08-17 |
| 1962023135 | Kelee Jade Forst | Student in an Organized Health Care Education/Training Program | 4001 N Third Street, Suite 290, Phoenix, AZ 85012 | 2020-04-29 |
| 1659911428 | Thomas James Blake | Social Worker | Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 | 2020-01-09 |
| 1598259467 | Luis F Fong | Registered Nurse | 3620 N. 3rd Street, Phoenix, AZ 85012 | 2018-06-14 |
| 1881196335 | Phoenix Surgical Solutions Pllc | Surgery | 6120 W Bell Rd Suite 130, Glendale, AZ 85012 | 2018-03-01 |
| 1679082523 | Christopher Ferguson | Physician Assistant | 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 | 2017-09-22 |
| 1861911323 | Viet Quoc Truong | Physician Assistant | 650 E Indian School Rd # 1, Phoenix, AZ 85012 | 2017-09-15 |
| 1720506389 | Erin Lynne Cody | Nurse Practitioner | 3003 N. 3rd St, Phoenix, AZ 85012 | 2017-09-05 |
| 1346694627 | Sharareh Najafi | Psychologist | 3450 N. 3rd Street, Phoenix, AZ 85012 | 2016-04-22 |
| 1548635824 | Rebekah June Daroff | Specialist/Technologist | 352 N Camelback Rd, Phoenix, AZ 85012 | 2015-12-11 |
| Find all providers in zip 85012 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758885 | Legacy Hospice Care LLC | Hospice Care, Community Based | 7725 N 43rd Ave Ste 611, Phoenix, AZ 85051-5770 | 2020-10-17 |
| 1588279673 | Centra Management Services LLC | Hospice Care, Community Based | 4530 E Shea Blvd Ste 142, Phoenix, AZ 85028-6067 | 2020-09-15 |
| 1407461643 | Kind Hearts Hospice, Inc. | Hospice Care, Community Based | 10210 N 32nd St Ste 215, Phoenix, AZ 85028-3848 | 2020-09-14 |
| 1104434141 | First Choice Hospice LLC | Hospice Care, Community Based | 1738 E Thomas Rd, Phoenix, AZ 85016-7604 | 2020-07-15 |
| 1538787122 | Nana Hope Hospice and Palliative Care LLC | Hospice Care, Community Based | 1620 N 48th St Ste 101, Phoenix, AZ 85008-7720 | 2020-07-09 |
| 1235751645 | Hummingbird Hospice LLC | Hospice Care, Community Based | 4500 N 32nd St Ste 201, Phoenix, AZ 85018-3396 | 2020-05-08 |
| 1154942217 | We Care Hospice Inc | Hospice Care, Community Based | 2415 E Camelback Rd # 700-796, Phoenix, AZ 85016-4288 | 2020-04-29 |
| 1881215945 | Valley Care Hospice Inc | Hospice Care, Community Based | 2415 E Camelback Rd Ste 700-795, Phoenix, AZ 85016-4288 | 2020-04-29 |
| 1821617960 | Elements of Elder Care | Hospice Care, Community Based | 2990 E Northern Ave Ste C103, Phoenix, AZ 85028-4839 | 2020-04-09 |
| 1770123622 | Elite Royalty Healthcare Hospice LLC | Hospice Care, Community Based | 519 E Eva St Ste D, Phoenix, AZ 85020-2518 | 2020-01-08 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.