Healthcare Provider Details

I. General information

NPI: 1053220863
Provider Name (Legal Business Name): BIENESTAR PROVIDER SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35381 FM 732
SAN BENITO TX
78586-6685
US

IV. Provider business mailing address

35381 FM 732
SAN BENITO TX
78586-6685
US

V. Phone/Fax

Practice location:
  • Phone: 956-990-5890
  • Fax:
Mailing address:
  • Phone: 956-990-5890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MRS. ROSA LINDA ROBLES
Title or Position: ADMINISTRATOR
Credential: FNP-BC
Phone: 956-990-5890