Healthcare Provider Details

I. General information

NPI: 1912125675
Provider Name (Legal Business Name): BIENVIVIR SENIOR HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 MCKINLEY AVE
EL PASO TX
79930-2240
US

IV. Provider business mailing address

2300 MCKINLEY AVE
EL PASO TX
79930-2240
US

V. Phone/Fax

Practice location:
  • Phone: 915-562-3444
  • Fax: 915-564-0261
Mailing address:
  • Phone: 915-562-3444
  • Fax: 915-564-0261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number004250
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code251T00000X
TaxonomyPACE Provider Organization
License Number004250
License Number StateTX

VIII. Authorized Official

Name: MRS. ROSEMARY CASTILLO
Title or Position: CEO
Credential:
Phone: 915-562-3444