Active NPI
Care Partners Health Services Inc
- Home Health Agency
- Avondale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA4180 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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.
- Overall star rating
- Ownership
- Proprietary
- Certified
- Feb 5, 2009
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D1086575 | Care Partners Health Services, Inc | Certificate of waiver | Jul 14, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Amabel B Bongoyan | 5% Or Greater Direct Ownership Interest | Dec 1, 2017 | 17% |
| Corporate Officer | Dec 1, 2017 | 17% | |
| Corporate Director | Nov 18, 2011 | 17% | |
| W-2 Managing Employee | Dec 1, 2017 | 17% | |
| Kaylane L Oballo | 5% Or Greater Direct Ownership Interest | Dec 1, 2017 | 83% |
| Corporate Officer | Dec 1, 2017 | 83% | |
| Corporate Director | Dec 1, 2017 | 83% | |
| W-2 Managing Employee | 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.
-
- Family Medicine Physician
- Glendale, AZ
- NPI 1629027248
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Goodyear, AZ
- NPI 1386699502
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.