Organization Active NPI

Care Partners Health Services Inc

  • Home Health Agency
  • Avondale, AZ
National Provider Identifier
1376763219
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CARE PARTNERS HEALTH SERVICES INC
Practice address
809 N Dysart Rd
Avondale, AZ 85323-1701
Phone
(623) 535-9607
Fax
(877) 334-1390
NPI assigned
Apr 25, 2007
Last updated
Jan 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kaylane Oballo, RN
Title
President
Phone
(623) 238-4779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

809 N Dysart Rd
Avondale, AZ 85323-1701

Mailing address

809 N Dysart Rd
Avondale, AZ 85323-1701
Phone (623) 535-9607

Other identifiers 1

IdentifierTypeStateIssuer
HHA4180MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070530000542 AZ Part A Provider - Home Health Agency 0446358352 Practice locations: Goodyear, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376763219. Details of each certification follow.

Home health agency certification: CCN 037261

Legal name
CARE PARTNERS HEALTH SERVICES, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 5, 2009
Last certification
Dec 11, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 12, 2006 in AZ
Enrollment address
14122 W McDowell Road
Suite 203
Goodyear, AZ 85395-2504

Care Compare: Home health agency

Medicare Care Compare
Listed as
Care Partners Health Services, Inc.CCN 037261 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Feb 5, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D1086575Care Partners Health Services, Inc809 N Dysart Rd, Avondale, AZ 85323Certificate of waiverJul 14, 2028

National Provider Directory

National Provider Directory

Locations

809 N Dysart Rd
Avondale, AZ 85323
Phone (623) 535-9607

14122 W McDowell Rd
Ste 104
Goodyear, AZ 85395
Phone (623) 535-9607

14122 W McDowell Rd
Ste 203
Goodyear, AZ 85395
Phone (623) 349-1711

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Amabel B Bongoyan Individual 5% Or Greater Direct Ownership Interest Dec 1, 2017 17%
Corporate OfficerVice President Dec 1, 2017 17%
Corporate DirectorVice President Nov 18, 2011 17%
W-2 Managing EmployeeMarketing Director Dec 1, 2017 17%
Kaylane L Oballo Individual 5% Or Greater Direct Ownership Interest Dec 1, 2017 83%
Corporate OfficerPresident Dec 1, 2017 83%
Corporate DirectorAdministrator Dec 1, 2017 83%
W-2 Managing EmployeeAdministrator, DPCS Dec 1, 2017 83%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1376763219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 N DYSART RD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231701",
            "telephone_number": "623-535-9607",
            "fax_number": "623-240-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N DYSART RD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231701",
            "telephone_number": "623-535-9607",
            "fax_number": "877-334-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE PARTNERS HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "OBALLO",
        "authorized_official_first_name": "KAYLANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-238-4779",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA4180",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.