Organization Active NPI

Banner Home Care-Arizona

Doing business as Banner Hospice

  • Community Based Hospice Care Agency
  • Gilbert, AZ
National Provider Identifier
1073550547
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
BANNER HOME CARE-ARIZONA
Doing business as
Banner Hospice
Practice address
275 E Germann Rd Ste 110N
Gilbert, AZ 85297-2916
Phone
(480) 657-1000
NPI assigned
Jun 1, 2006
Last updated
Mar 22, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
BANNER HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Authorized official

Name
James Cote
Title
VP Ambulatory
Phone
(602) 747-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

275 E Germann Rd Ste 110N
Gilbert, AZ 85297-2916

Mailing address

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

Other practice location 1

13950 W Meeker Blvd Ste 102
Sun City West, AZ 85375-4423
Phone (602) 747-8899

Other practice location 2

575 E River Rd Ste 203
Tucson, AZ 85704-5822
Phone (520) 694-5020

Other identifiers 1

IdentifierTypeStateIssuer
393679MedicaidAZ

Other names 1

  • Banner Hospice Doing business as

National Provider Directory

National Provider Directory
Part of
Big Horn Family Med

Member of 1

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

Locations

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

13950 W Meeker Blvd
Ste 102
Sun City West, AZ 85375
Phone (602) 747-8899

575 E River Rd
Ste 203
Tucson, AZ 85704
Phone (520) 694-5020

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1073550547",
    "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": "275 E GERMANN RD STE 110N",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852972916",
            "telephone_number": "480-657-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13950 W Meeker Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853754423",
            "country_code": "US",
            "telephone_number": "602-747-8899",
            "fax_number": "480-684-7858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "575 E River Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857045822",
            "country_code": "US",
            "telephone_number": "520-694-5020",
            "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": "2006-06-01",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "COTE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "VP AMBULATORY",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "393679",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Banner Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Banner Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.