Active NPI
Banner Home Medical Equipment Colorado
- Durable Medical Equipment & Medical Supplies
- Greeley, CO
National Provider Identifier
1144268525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- BANNER HOME MEDICAL EQUIPMENT COLORADO
- Practice address
- 1990 59TH Ave Ste 300
Greeley, CO 80634-9683 - Phone
- (970) 506-6420
- NPI assigned
- Jun 4, 2006
- Last updated
- Apr 15, 2026
- Organization subpart
- Yes
- Parent organization
- BANNER HEALTH
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1990 59TH Ave Ste 300
Greeley, CO 80634-9683
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930061188 | CO | DME Supplier - Medical Supply Company With Respiratory Therapist | 1759401938 | Practice locations: Greeley, CO |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Banner Home Medical Equipment Color | Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Contracture Treatment Devices: Dynamic Splint|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Negative Pressure Wound Therapy Pumps/Supplies|Neuromuscular Elect Stimulators (NMES)/Supplies|Osteogenesis Stimu… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Banner Home Medical Equipment Colorado
- Part of
- Big Horn Family Med
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Loveland, CO
- NPI 1790723161
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Banner Hospice of Northern Colorado
- Community Based Hospice Care Agency
- Greeley, CO
- NPI 1407409964
Member Of
Locations
1990 59th Ave
Ste 300
Greeley, CO 80634
Phone (970) 506-6420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776211200000",
"number": "1144268525",
"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": "1990 59TH AVE STE 300",
"city": "GREELEY",
"state": "CO",
"postal_code": "806349683",
"telephone_number": "970-506-6420"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BANNER HOME MEDICAL EQUIPMENT COLORADO",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BANNER HEALTH",
"enumeration_date": "2006-06-04",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"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": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.