BANNER HOME MEDSOLUTIONS NPI 1104590595

NPI Information

NPI: 1104590595
Provider Name: BANNER HOME MEDSOLUTIONS
Classification: Home Infusion - 251F00000X
Entity Type: Organization

CLIA Number: 06D0516682

Address:
1990 59TH AVE STE 200
GREELEY, CO
ZIP 80634
Phone: (970) 810-6455
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BANNER HOME MEDSOLUTIONS is a home infusion in Greeley, CO. BANNER HOME MEDSOLUTIONS NPI is 1104590595. The provider is registered as an organization entity type.

The provider's business location address is:

1990 59TH AVE STE 200
GREELEY, CO
ZIP 80634-654
Phone: (970) 810-6455
Fax: (970) 810-6422

The provider's authorized official is Dennis Laraway .
The authorized official title is Chief Financial Officer and has the following contact phone number (602) 747-4000.

The CLIA number assigned to this NPI record is 06D0516682 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/9/2021 and was last updated on 12/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251F00000X	Home Infusion		Yes
2	332B00000X	Durable Medical Equipment & Medical Supplies		No
3	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	No
4	333600000X	Pharmacy		No
5	3336C0004X	Pharmacy	Compounding Pharmacy	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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