Healthcare Provider Details

I. General information

NPI: 1184545303
Provider Name (Legal Business Name): ECO LIVING SENIOR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 CALLE JUAN C BORBON STE 1093
GUAYNABO PR
00969-5374
US

IV. Provider business mailing address

4000 ARCHER DR APT G2 G2
EAST MOLINE IL
61244-3947
US

V. Phone/Fax

Practice location:
  • Phone: 787-942-2388
  • Fax:
Mailing address:
  • Phone: 787-942-2388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SANDRA I ROSA
Title or Position: PRESIDENT
Credential:
Phone: 563-225-4031