MEDICARE: BIENESTAR CARE SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency
2	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1457828121
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIENESTAR CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	1933 PROCTOR DR
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75051-3711
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 VIRGINIA ST STE A
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75051-3767
Country	:	US
Telephone Number	:	972-891-1914
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. LETICIA H BARRAGAN
Credential	:
Telephone Number	:	972-891-1914

Provider Enumeration Date	:	10/30/2018
Last Update Date	:	03/11/2026

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Directions to “BIENESTAR CARE SERVICES LLC ” Practice Location

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