BANNER HOME CARE ARIZONA NPI 1104185214

NPI Information

NPI: 1104185214
Provider Name: BANNER HOME CARE ARIZONA
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
2001 GILLAM WAY
FAIRBANKS, AK
ZIP 99701
Phone: (907) 458-3090
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BANNER HOME CARE ARIZONA is a hospice care community based in Fairbanks, AK. BANNER HOME CARE ARIZONA NPI is 1104185214. The provider is registered as an organization entity type.

The provider's business location address is:

2001 GILLAM WAY
FAIRBANKS, AK
ZIP 99701-026
Phone: (907) 458-3090

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

The enumeration date for this NPI number is 5/9/2012 and was last updated on 1/13/2022.

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	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

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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