Healthcare Provider Details

I. General information

NPI: 1033048335
Provider Name (Legal Business Name): BENEVOLENT CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15847 DOVE HOLLOW DR
CONROE TX
77302-2321
US

IV. Provider business mailing address

15847 DOVE HOLLOW DR
CONROE TX
77302-2321
US

V. Phone/Fax

Practice location:
  • Phone: 304-207-7701
  • Fax:
Mailing address:
  • Phone: 304-207-7701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KRIS RODEL BORJA
Title or Position: DIRECTOR FOR CLINICAL OPERATIONS
Credential: FNP-BC
Phone: 304-207-7701