Provider Demographics
NPI:1144802885
Name:ECS ELDERLY CARE SERVICE, LLC
Entity type:Organization
Organization Name:ECS ELDERLY CARE SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRADORA/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NOEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-944-6805
Mailing Address - Street 1:HC 4 BOX 46891
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680-9426
Mailing Address - Country:US
Mailing Address - Phone:787-944-6805
Mailing Address - Fax:
Practice Address - Street 1:CARR 353 KM 1.0 INT CAMINO LOS BORRERO BO. QUEMADO
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-9426
Practice Address - Country:US
Practice Address - Phone:787-944-6805
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-22
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health