NPI Code Details Logo

NPI 1376763219

NPI 1376763219 : CARE PARTNERS HEALTH SERVICES INC : AVONDALE, AZ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1376763219
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CARE PARTNERS HEALTH SERVICES INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/25/2007
-----------------------------------------------------
    Last Update Date     |    01/26/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    809 N DYSART RD 
-----------------------------------------------------
    City                 |    AVONDALE
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    85323-1701
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    623-535-9607
-----------------------------------------------------
    Fax                  |    877-334-1390
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    809 N DYSART RD 
-----------------------------------------------------
    City                 |    AVONDALE
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    85323-1701
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    623-535-9607
-----------------------------------------------------
    Fax                  |    623-240-1053
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT
-----------------------------------------------------
    Name                 |     KAYLANE  OBALLO 
-----------------------------------------------------
    Credential           |    RN
-----------------------------------------------------
    Telephone            |    623-238-4779
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.