BANNER CARE LLC NPI 1558051961

NPI Information

  • NPI: 1558051961
  • Provider Name: BANNER CARE LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • CLIA Number: 39D2285678
  • Address: 129 N 11TH ST
    PHILADELPHIA, PA
    ZIP 19107
  • Phone: (215) 613-6273

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NPI Details

BANNER CARE LLC is a general practice in Philadelphia, PA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee BANNER CARE LLC NPI is 1558051961. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

129 N 11TH ST
PHILADELPHIA, PA
ZIP 19107-347
Phone: (215) 613-6273

The provider's authorized official is Ray A Abarintos .
The authorized official title is Owner and has the following contact phone number (215) 613-6273.

The CLIA number assigned to this NPI record is 39D2285678 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2023 and was last updated on 9/22/2023.

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
1207Q00000XFamily MedicineNo
2208D00000XGeneral PracticeYes

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: 11/21/2025

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