| Organization Name: | BIEN STAR HOME HEALTH |
| NPI Number: | 1558503268 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALVA VANESSA LARES (OWNER/DIRECTOR) |
| Mailing Address: | 3907 Mcnutt Rd Unit D Sunland Park |
| State: | NM US |
| Postal Code: | 880639055 |
| Phone Number: | 5755891921 |
| Fax Number: | 5755891921 |
| NPI Enumeration Date: | 03/26/2009 |
| NPI Last Update Date: | 03/26/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 08000262 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |