MEDICARE: BANNER HEALTH 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	9025	TX

General Provider Information

NPI Number	:	1144225327
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BANNER HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	2301 HIGHWAY 1187
Second Line	:	SUITE 203
City	:	MANSFIELD
State	:	TX
Zip	:	76063-6124
Country	:	US
Telephone Number	:	817-469-6739
Fax Number	:	817-801-3486

Provider Business Practice Location Address
First Line	:	501 S ELM ST
Second Line	:
City	:	ROYSE CITY
State	:	TX
Zip	:	75189-4306
Country	:	US
Telephone Number	:	903-454-6001
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANGIE EDDINS
Credential	:
Telephone Number	:	817-469-6739

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	08/06/2025

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