BANNER HOME CARE-ARIZONA
NPI 1013452721
Home Health in Tucson, AZ

Active since January 04, 2017CLIA Certified · 3 labs
575 E RIVER RD STE 102, TUCSON, AZ 85704(520) 694-9180 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 22, 2026, Nov 14, 2025, Sep 13, 2024 and 4 more (7 updates tracked since 2017).

About Banner Home Care-arizona NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BANNER HOME CARE-ARIZONA (NPI 1013452721) is a healthcare organization registered as a home health in Tucson, Arizona and active in the NPI registry since January 2017. The organization holds 3 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Russell Funk, Ceo, as its authorized official.

NPPES Registry Identity

NPI1013452721
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameBANNER HOME CARE-ARIZONA
Location Address575 E RIVER RD STE 102Tucson, AZ 85704-5822
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Organization SubpartYesParent: Banner Health
Authorized OfficialRussell FunkCeo · (602) 747-4000
Enumeration DateJanuary 4, 2017
Last NPPES UpdateApril 22, 20267 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
NPI 1013452721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

575 E RIVER RD STE 102, Tucson, AZ 85704

Secondary Practice Locations 3

Location 1708 E Route 260 Ste A1Payson, AZ 85541-0001 · Phone (928) 596-4777
Location 2525 W Brown Rd Ste 4002Mesa, AZ 85201-3202 · Phone (480) 657-1000
Location 313049 N 103rd Ave Ste 232Sun City, AZ 85351-3054 · Phone (480) 657-1000

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2261827

Banner Home Care - Arizona · Tucson, AZ
Active · expires Jun 5, 2028
CLIA Number03D2261827
Laboratory TypeHome Health Agency
Certificate Effective DateJune 6, 2026
Certificate Expiration DateJune 5, 2028
Laboratory DirectorNathan Parker
Laboratory Phone(520) 694-9180
Laboratory LocationBanner Home Care - Arizona575 E River Rd Ste 102, Tucson, AZ 85704
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2261830

Banner Home Care - Arizona · Payson, AZ
Active · expires Jun 5, 2028
CLIA Number03D2261830
Laboratory TypeHome Health Agency
Certificate Effective DateJune 6, 2026
Certificate Expiration DateJune 5, 2028
Laboratory DirectorNathan Parker
Laboratory Phone(928) 596-4777
Laboratory LocationBanner Home Care - Arizona708 E Route 260 Ste A1, Payson, AZ 85541
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D0695124

Banner Home Care Central Office · Mesa, AZ
Active · expires Nov 14, 2026
CLIA Number03D0695124
Laboratory TypeHome Health Agency
Certificate Effective DateNovember 15, 2024
Certificate Expiration DateNovember 14, 2026
Laboratory DirectorNathan Parker
Laboratory Phone(480) 324-4424
Laboratory LocationBanner Home Care Central Office525 W Brown Rd Ste 4002, Mesa, AZ 85201
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20487203
Accepts Medicare Assignment
YES
Specialities List
Home Health Agency, Pharmacy.
Competitive Bidding
NO

Supplies List

  • Infusion Drugs -
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • External Infusion Pumps and/or Supplies - An infusion pump is necessary to safely administer the drug
  • Enteral Nutrients - Enteral formula
  • Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
  • Parenteral Nutrients - Parenteral nutrient solutions
  • Parenteral Equipment and/or Supplies - Parenteral infusion pumps, parenteral nutrition supply kits
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013452721, enumerated as an "organization" on January 04, 2017.

The provider is located at 575 E RIVER RD STE 102 TUCSON, AZ 85704 and the phone number is (520) 694-9180.

Home Health with taxonomy code 251E00000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Blue Cross. Please consult your insurance carrier or call the provider to verify.