Banner Home Care-Arizona

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BANNER HOME CARE-ARIZONA

Practice address

2001 Gillam Way
Fairbanks, AK 99701-6026

Phone

(907) 458-3090

NPI assigned

May 9, 2012

Organization subpart

Yes

Parent organization

BANNER HEALTHAs reported in NPPES

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

Addresses

Part of

M E Lee MD

Member of 1

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

• Banner Health

  • Critical Access Hospital
  • Payson, AZ
  • NPI 1063923340

  Member Of

  NPD member

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Banner Health

  • Home Infusion Therapy Pharmacy
  • Fairbanks, AK
  • NPI 1003008277
  NPPES parent name

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1104185214",
    "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": "2001 GILLAM WAY",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997016026",
            "telephone_number": "907-458-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNER HOME CARE-ARIZONA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER HEALTH",
        "enumeration_date": "2012-05-09",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tawanda Betty Ballard
• Melissa J Balvanz, OTR/L
• Flor M Banks, LMT, CMT
• Banner Health
• Banner Health Physicians Alaska LLC
• Banner Home Medical Equipment
• Barbara L. Wilson, LCSW, PC
• Christan Toini Barber, LMT
• Laura Gabriela Barbosa
• Agnes Barcinas

• Community Based Hospice Care Agency in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Community Based Hospice Care Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.