Banner Home Care-Arizona

Primary specialty

Home Infusion AgencyTaxonomy code 251F00000X

Legal business name

BANNER HOME CARE-ARIZONA

Practice address

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

Phone

(602) 747-4000

NPI assigned

Jun 13, 2006

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

Russell Funk

Title

Ceo

Phone

(602) 747-4000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Banner Home Care-Arizona

  • Home Infusion Agency
  • Mesa, AZ
  • NPI 1972701332

  O20100930077478

  Same enrollment

Part of

M E Lee MD

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1821031485",
    "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": "2901 N CENTRAL AVE STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122702",
            "telephone_number": "602-747-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1641 E Guadalupe Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852348168",
            "country_code": "US",
            "telephone_number": "602-747-8779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 W Brown Rd Ste 1350",
            "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": "2006-06-13",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "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": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013293",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Banner Health
• Banner Health Network
• Banner Home Care Arizona
• Banner Home Care Colorado
• Banner Home Care-Arizona
• Banner Hospital Based Physicians Arizona LLC
• Banner Hospital Based Physicians Arizona LLC
• Banner Hospital Based Physicians Arizona LLC
• Banner Hospital Based Physicians Colorado LLC
• Banner Hospital Based Physicians Colorado LLC

• All providers in Phoenix, AZ
• Home Infusion Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.