Active NPI
Banner Home Care-Arizona
- Home Infusion Agency
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Agency
- Legal business name
- BANNER HOME CARE-ARIZONA
- Practice address
- 525 W Brown Rd Ste 1350
Mesa, AZ 85201-3202 - Phone
- (480) 657-1000
- NPI assigned
- Jul 6, 2007
- Last updated
- Apr 20, 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | Primary | ||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Pharmacy | 333600000X | |||
| Compounding Pharmacy | 3336C0004X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X |
Addresses
Primary practice location
525 W Brown Rd Ste 1350
Mesa, AZ 85201-3202
Mailing address
PO Box 29325
Phoenix, AZ 85038-9325
Other practice location 1
1641 E Guadalupe Rd Ste B
Gilbert, AZ 85234-8168
Phone (602) 747-8779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013293 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930077478 | AZ | DME Supplier - Pharmacy | 3678482403 |
1 other NPI on this enrollment Practice locations: Mesa, AZ |
Other NPIs with the same Medicare PAC ID 7
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1588154157
3678482403
-
- Durable Medical Equipment & Medical Supplies
- Mesa, AZ
- NPI 1679125009
3678482403
-
- Durable Medical Equipment & Medical Supplies
- Peoria, AZ
- NPI 1851943286
3678482403
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- M E Lee MD
Locations
1325 N Fiesta Blvd
Ste 1
Gilbert, AZ 85233
Phone (480) 497-5535
275 E Germann Rd
Ste 110N
Gilbert, AZ 85297
Phone (480) 657-1000
525 W Brown Rd
Ste 4003
Mesa, AZ 85201
Phone (480) 657-1100
13950 W Meeker Blvd
Ste 101
Sun City, AZ 85375
Phone (480) 657-1400
13950 W Meeker Blvd
Ste 102
Sun City West, AZ 85375
Phone (602) 747-8899
575 E River Rd
Ste 104
Tucson, AZ 85704
Phone (520) 694-0118
575 E River Rd
Ste 203
Tucson, AZ 85704
Phone (520) 694-5020
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Gilbert, AZ
- NPI 1447311717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776643200000",
"number": "1972701332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29325",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850389325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 W BROWN RD STE 1350",
"city": "MESA",
"state": "AZ",
"postal_code": "852013202",
"telephone_number": "480-657-1000"
}
],
"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"
}
],
"basic": {
"organization_name": "BANNER HOME CARE-ARIZONA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BANNER HEALTH",
"enumeration_date": "2007-07-06",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"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
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "013293",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
- Banner Family Pharmacy (Banner Family Pharmacy Desert)
- Banner Health Clinic
- Banner Health Dba Cardon Childrens Medical Center
- Banner Heart Hospital
- Banner Home Care-Arizona
- Banner Medical Group Adult Sleep, LLC
- Banner Medical Group Pediatric Sleep, LLC
- Banner Mesa Medical Center
- Banner Mesa Medical Center
- Banner Mesa Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.