National Provider Identifier Database

BANNER HOME CARE ARIZONA
Hospice Care, Community Based


Contact Information

BANNER HOME CARE-ARIZONA
2001 GILLAM WAY
FAIRBANKS, AK99701-6026
Phone: 907-458-3090
Fax:
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for BANNER HOME CARE-ARIZONA

NPI Number 1104185214
Legal business name
LBN
BANNER HOME CARE-ARIZONA
Authorized official JAMES COTE - (VP AMBULATORY)
Entity Organization
Organization subpart Yes
Enumeration date 05/09/2012
Last updated 03/27/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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