MEDICARE: BANNER HEALTHCARE SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	008886	TX
2	3747P1801X	Personal Care Attendant

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326032277
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BANNER HEALTHCARE SERVICES, INC

Provider Business Mailing Address
First Line	:	6538 GREATWOOD PKWY STE A
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-6312
Country	:	US
Telephone Number	:	281-782-2396
Fax Number	:	713-272-9356

Provider Business Practice Location Address
First Line	:	6538 GREATWOOD PKWY STE A
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-6312
Country	:	US
Telephone Number	:	713-272-9355
Fax Number	:	713-272-9356

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	ANTHONY A OBEAHON
Credential	:
Telephone Number	:	713-272-9355

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	06/12/2024

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Directions to “BANNER HEALTHCARE SERVICES, INC ” Practice Location

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