Provider Demographics
NPI:1427730118
Name:CARE PARTNERS HOSPICE SERVICES LLC
Entity type:Organization
Organization Name:CARE PARTNERS HOSPICE SERVICES LLC
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:BSN RN
Authorized Official - Phone:623-535-9607
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:877-334-1390
Practice Address - Street 1:809 N DYSART RD
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85323-1701
Practice Address - Country:US
Practice Address - Phone:623-535-9607
Practice Address - Fax:877-334-1390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based