Organization
BANNER HOME CARE-ARIZONA
Active
Parent organization
BANNER HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
RUSSELL FUNK (CEO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
13049 N 103RD AVE STE 232, SUN CITY, AZ 85351-3054
(480) 657-1000
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA0015
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01-3293-01
—
AZ
Enumeration date
06/14/2006
Last updated
04/23/2026
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