Banner Home Care-Arizona

LBN: Banner Home Care-Arizona
Banner Home Care-Arizona is an health care organization with primary practice located at 525 W Brown Rd Ste 1350 , Mesa AZ 85201-3202. The organization recently has 5 registered licenses in different health care specialties including Agencies / Home Infusion, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Agencies / Home Infusion is the primary health care specialty. Banner Home Care-Arizona can be contacted via phone (480) 657-1000, or through Funk, Russell via phone (602) 747-4000.

Contact Information

Primary practice address
525 W Brown Rd Ste 1350 Mesa AZ 85201-3202
Phone: (480) 657-1000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Funk, Russell PHARMD
Phone: (602) 747-4000

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Infusion 251F00000X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X
Suppliers / Pharmacy 333600000X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X

Profile Details

NPI number 1972701332
LBN Legal business name Banner Home Care-Arizona
DBA Doing business as
Authorized official Funk, Russell PHARMD
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 6th, 2007
Last updated Jul 8th, 2024 - about 2 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 1972701332 NPPES
Arizona MEDICAID 013293

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