Provider Demographics
NPI:1376763219
Name:CARE PARTNERS HEALTH SERVICES INC
Entity type:Organization
Organization Name:CARE PARTNERS HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAYLANE
Authorized Official - Middle Name:
Authorized Official - Last Name:OBALLO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:623-238-4779
Mailing Address - Street 1:809 N DYSART RD
Mailing Address - Street 2:
Mailing Address - City:AVONDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85323-1701
Mailing Address - Country:US
Mailing Address - Phone:623-535-9607
Mailing Address - Fax:623-240-1053
Practice Address - Street 1:14122 W MCDOWELL RD STE 203
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395-2505
Practice Address - Country:US
Practice Address - Phone:623-535-9607
Practice Address - Fax:877-334-1930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZHHA4180Medicaid
AZ037261Medicare Oscar/Certification