# BIENVIVIR SENIOR HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BIENVIVIR SENIOR HEALTH SERVICES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1487843298
- **Legal business name:** BIENVIVIR SENIOR HEALTH SERVICES
- **Authorized official:** ROSEMARY CASTILLO (CEO)
- **Authorized official phone:** (915) 562-3444

## Contact information

- **Practice address:** 2300 MCKINLEY AVE, EL PASO, TX 79930-2240
- **Practice address phone:** (915) 562-3444
- **Practice address fax:** (915) 834-3770
- **Mailing address:** 2300 MCKINLEY AVE, EL PASO, TX 79930-2240
- **Mailing address phone:** (915) 562-3444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 23975 | TX | Yes |

## Other

- **Enumeration date:** 10/17/2007
- **Last updated:** 06/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000999817 | — | TX |
| 01 | — | 4536061 | OTHER ID NUMBER | — |