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:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MYLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLADO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:623-535-9607
Mailing Address - Street 1:14122 W MCDOWELL RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-2503
Mailing Address - Country:US
Mailing Address - Phone:623-535-9607
Mailing Address - Fax:623-535-4387
Practice Address - Street 1:14122 W MCDOWELL RD
Practice Address - Street 2:SUITE 104
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-2503
Practice Address - Country:US
Practice Address - Phone:623-535-9607
Practice Address - Fax:623-535-4387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZHHA4180Medicaid
AZ037261Medicare Oscar/Certification