BANNER HOME CARE ARIZONA (NPI# 1104185214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104185214 |
| Entity Type | Organization |
| Organization Name | BANNER HOME CARE ARIZONA |
| Practice Address |
2001 Gillam Way Fairbanks AK 99701-6026 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 9074583090 |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2012-05-09 |
| Authorized Official Name | DENNIS DAHLEN (VP FINANCE) |
| Authorized Official Telephone | 6027474000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BANNER HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679125009 | Banner Home Care Arizona | Durable Medical Equipment & Medical Supplies | 2140 W Broadway Rd Bldg 7, Mesa, AZ 85202-1895 | 2019-07-16 |
| 1851943286 | Banner Home Care Arizona | Durable Medical Equipment & Medical Supplies | 14131 N Rio Vista Blvd Ste 7, Peoria, AZ 85381-4917 | 2019-07-16 |
| 1467016733 | Banner Home Care Arizona | Durable Medical Equipment & Medical Supplies | 275 E Germann Rd Ste 110, Gilbert, AZ 85297-2916 | 2019-04-23 |
| 1023508694 | Banner Home Care Arizona | Durable Medical Equipment & Medical Supplies | 575 E River Rd Ste 103, Tucson, AZ 85704-5822 | 2018-05-18 |
| 1588154157 | Banner Home Care Arizona | Durable Medical Equipment & Medical Supplies | 575 E River Rd Ste 104, Tucson, AZ 85704-5822 | 2018-05-18 |
| 1013452721 | Banner Home Care Arizona | Home Health | 575 E River Rd Ste 213, Tucson, AZ 85704-5822 | 2017-01-04 |
| 1568844181 | Banner Home Care Arizona | Home Health | 708 E Route 260 Ste A1, Payson, AZ 85541 | 2015-06-19 |
| 1013322635 | Banner Home Care Arizona | Hospice, Inpatient | 275 E Germann Rd Ste 110w, Gilbert, AZ 85297-2916 | 2014-06-23 |
| 1306281076 | Banner Home Care Arizona | Hospice Care, Community Based | 8977 W Athens St, Peoria, AZ 85382-8170 | 2013-05-07 |
| 1902159742 | Banner Home Care Arizona | Hospice Care, Community Based | 202 E Earll Dr Ste 160, Phoenix, AZ 85012-2636 | 2012-10-17 |
| Street Address |
2001 GILLAM WAY |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-6026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881145571 | Fairbanks Memorial Hospital, LLC | Hospice Care, Community Based | 2001 Gillam Way, Fairbanks, AK 99701-6026 | 2016-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881145571 | Fairbanks Memorial Hospital, LLC | Hospice Care, Community Based | 2001 Gillam Way, Fairbanks, AK 99701-6026 | 2016-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801380043 | Ancora Home Health & Hospice, LLC | Hospice Care, Community Based | 950 E Bogard Rd Ste 132, Wasilla, AK 99654-7172 | 2018-06-20 |
| 1669862793 | Tlc Home Care LLC | Hospice Care, Community Based | 500 E Tudor Rd Ste 200, Anchorage, AK 99503-7377 | 2015-01-27 |
| 1891943049 | Anak Limited | Hospice Care, Community Based | 4360 Spenard Rd, Anchorage, AK 99517-2909 | 2008-08-29 |
| 1700094331 | Amazing Grace Alh | Hospice Care, Community Based | 3444 E 16th Ave, Anchorage, AK 99508-3037 | 2007-05-18 |
| 1861518375 | Randel Home Care | Hospice Care, Community Based | 9290 Aphrodite Dr, Anchorage, AK 99515-1498 | 2007-03-22 |
| 1093821373 | Catholic Community Service Inc | Hospice Care, Community Based | 419 6th St, Juneau, AK 99801-1020 | 2006-08-21 |
| 1093746893 | Maxim Healthcare Services, Inc. | Hospice Care, Community Based | 670 W Fireweed Ln, Suite 160, Anchorage, AK 99503-2562 | 2006-07-06 |
| 1477047579 | Ancora Home Health & Hospice, LLC | Hospice Care, Community Based | 950 E Bogard Rd Ste 132, Wasilla, AK 99654-7172 | 2018-06-21 |
| 1659722288 | Aurora Borealis Hospice LLC | Hospice Care, Community Based | 4900 E Palmer Wasilla Hwy Ste 4, Wasilla, AK 99654-7752 | 2016-06-24 |
| 1831595685 | Frontier Home Health and Hospice, LLC | Hospice Care, Community Based | 3909 Artic Blvd, Anchorage, AK 99503-5770 | 2014-11-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.