Banner Home Care Arizona

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BANNER HOME CARE ARIZONA

Practice address

202 E Earll Dr Ste 160
Phoenix, AZ 85012-2636

Phone

(602) 279-0677

Fax

(602) 279-1085

NPI assigned

Oct 17, 2012

Last updated

Feb 11, 2022By the provider in NPPES

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

Dennis Laraway

Title

Cfo

Phone

(602) 747-4000

Specialties & licenses 1

Addresses

Part of

Big Horn Family Med

Member of 1

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

• Banner Health

  dba Banner Hospice of Northern Colorado

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

  Member Of

  NPD member

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1902159742",
    "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": "202 E EARLL DR STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122636",
            "telephone_number": "602-279-0677",
            "fax_number": "602-279-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNER HOME CARE ARIZONA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER HEALTH",
        "enumeration_date": "2012-10-17",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "LARAWAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Banner Health (Banner Good Samaritan Op Clinic Pharmacy)
• Banner Health
• Banner Health (Banner Occupational Health Services)
• Banner Health (Banner Good Samaritan Medical Center)
• Banner Health Network
• Banner Home Care Colorado
• Banner Home Care-Arizona
• Banner Home Care-Arizona
• Banner Hospital Based Physicians Arizona LLC
• Banner Hospital Based Physicians Arizona LLC

• Community Based Hospice Care Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community Based Hospice Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.