NPIMap

Organization Active NPI

Banner Home Care-Arizona

  • Home Health Agency
  • Sun City, AZ
National Provider Identifier
1023051927
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA0015 Issued in AZ
Legal business name
BANNER HOME CARE-ARIZONA
Practice address
13049 N 103Rd Ave Ste 232
Sun City, AZ 85351-3054
Phone
(480) 657-1000
NPI assigned
Jun 14, 2006
Last updated
Apr 23, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
BANNER HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Russell Funk
Title
Ceo
Phone
(602) 747-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA0015 AZ Primary

Addresses

Primary practice location

13049 N 103Rd Ave Ste 232
Sun City, AZ 85351-3054

Mailing address

2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702

Other practice location 1

575 E River Rd Ste 102
Tucson, AZ 85704-5822
Phone (520) 694-9180

Other practice location 2

708 E Route 260 Ste A1
Payson, AZ 85541-0001
Phone (928) 596-4777

Other practice location 3

525 W Brown Rd Ste 4002
Mesa, AZ 85201-3202
Phone (480) 657-1000

Other identifiers 1

IdentifierTypeStateIssuer
01-3293-01MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090623000312 AZ Part A Provider - Home Health Agency 3678482403 Practice locations: Mesa, AZ; Sun City, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023051927. Details of each certification follow.

Home health agency certification: CCN 037015

Legal name
BANNER HOME CARE-ARIZONA
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 19, 1977
Last certification
Jun 3, 2021
Ownership / control type
Non-Profit
Organization structure
OtherNon-profit
Enrollment address
525 W Brown Rd
Ste 4002
Mesa, AZ 85201
HHA Branch

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Banner Home Care-ArizonaCCN 037015 · All quality measures
Overall star rating
4 of 5
Ownership
Non-Profit
Certified
Dec 19, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Advanced Home Health in10 organizations share this tax ID, including this one
Part of
Custer Comm Hosp Rad

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1641 E Guadalupe Rd
Ste B
Gilbert, AZ 85234
Phone (602) 747-8779

275 E Germann Rd
Ste 110S
Gilbert, AZ 85297
Phone (480) 657-1000

525 W Brown Rd
Ste 4003
Mesa, AZ 85201
Phone (480) 657-1100

13049 N 103rd Ave
Ste 232
Sun City, AZ 85351
Phone (480) 657-1000

Ownership & related parties

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Julie Ann Alvarado-Dubek Individual Corporate OfficerChief HR Officer Feb 1, 2022
James Cote Individual Corporate OfficerVP Ambulatory Services Sep 12, 2022
W-2 Managing EmployeeVP Ambulatory Services Sep 12, 2022
Marjorie J Bessel Individual Corporate OfficerExecutive VP, Chief Clinical Office Jan 1, 2018
Jean Lance Individual Corporate OfficerChief Legal Officer Jun 30, 2022
Staci Dickerson Individual Corporate OfficerCfo Jul 17, 2023
W-2 Managing EmployeeCfo Jul 17, 2023
Paris Labruzzo Individual Corporate DirectorSenior Director Dec 7, 2022
W-2 Managing EmployeeSenior Director Dec 7, 2022
Anne Mariucci Individual Corporate DirectorBoard Member Mar 1, 2015
Sujata Gosalia Individual Corporate DirectorDirector Sep 1, 2018
Brenda a Schaefer Individual Corporate OfficerTreasurer Mar 6, 2014
Quentin P Smith Individual Corporate DirectorBoard Member Sep 1, 1999
Gilbert R Davila Individual Corporate DirectorBoard Member Dec 1, 2005
Vicki Keiser Individual Corporate DirectorDirector Jun 1, 2017
Charles David Kikumoto Individual Corporate DirectorBoard Member Aug 1, 2012
Scott Nordlund Individual Corporate OfficerChief Strategy & Growth Officer Mar 26, 2018
Holly Gregory Individual W-2 Managing EmployeeCredentialing Supervisor Jul 24, 2020
Amy Perry Individual Corporate OfficerChief Operating Officer Nov 1, 2021
Rick Myers Individual Corporate DirectorBoard Member Sep 1, 2023
John F Koster Individual Corporate DirectorBoard Member Dec 11, 2015
Mark Wallace Individual Corporate DirectorBoard Member Sep 1, 2021
Christopher H Volk Individual Corporate DirectorBoard Member Dec 9, 2009
Michael Garnreiter Individual Corporate DirectorBoard Member Aug 1, 2012
Banner Health Organization, Phoenix, AZ Corporation, Non-profit 5% Or Greater Direct Ownership Interest Sep 19, 2007 100%

Owners & managing parties with NPI records 12

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Banner Health

    dba Banner Casa Grande Medical Center

    • General Acute Care Hospital
    • Casa Grande, AZ
    • NPI 1003232976

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Banner Health

    dba Banner Payson Medical Center

    • Critical Access Hospital
    • Payson, AZ
    • NPI 1063923340

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Banner Health

    dba Banner Payson Medical Center - Banner Health Clinic Payson

    • Rural Health Clinic/Center
    • Payson, AZ
    • NPI 1073223012

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Banner Health

    dba Banner Payson Medical Center - Banner Health Clinic Pine

    • Rural Health Clinic/Center
    • Pine, AZ
    • NPI 1245940287

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Banner Health

    dba Banner Payson Medical Center

    • Medicare Defined Swing Bed Hospital Unit
    • Payson, AZ
    • NPI 1861077414

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Banner Health

    dba Banner Ocotillo Medical Center

    • General Acute Care Hospital
    • Chandler, AZ
    • NPI 1972139004

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Marjorie Bessel, MD
    • Internal Medicine Physician
    • Gilbert, AZ
    • NPI 1710002068

    Corporate Officer

    CMS ownership
  • Banner Health
    • Multi-Specialty Clinic/Center
    • Susanville, CA
    • NPI 1205267549

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Banner Health

    dba Banner Hospice of Northern Colorado

    • Community Based Hospice Care Agency
    • Greeley, CO
    • NPI 1407409964

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Banner Health
    • Radiology Clinic/Center
    • Susanville, CA
    • NPI 1427740570

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Banner Health
    • Durable Medical Equipment & Medical Supplies
    • Casper, WY
    • NPI 1528846912

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Banner Health

    dba Banner Fort Collins Medical Center

    • General Acute Care Hospital
    • Fort Collins, CO
    • NPI 1659787554

    5% Or Greater Direct Ownership Interest

    CMS ownership

Facilities with the same owner 59

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 59

Practitioners & affiliated clinicians

Affiliated clinicians 366

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 366

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1023051927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 N CENTRAL AVE STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13049 N 103RD AVE STE 232",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513054",
            "telephone_number": "480-657-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 E River Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857045822",
            "country_code": "US",
            "telephone_number": "520-694-9180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "708 E Route 260 Ste A1",
            "address_purpose": "LOCATION",
            "city": "Payson",
            "state": "AZ",
            "postal_code": "855410001",
            "country_code": "US",
            "telephone_number": "928-596-4777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 W Brown Rd Ste 4002",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852013202",
            "country_code": "US",
            "telephone_number": "480-657-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BANNER HOME CARE-ARIZONA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER HEALTH",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "FUNK",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA0015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01-3293-01",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.