Angels Home for Seniors LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

ANGELS HOME FOR SENIORS LLC

Practice address

10070 Knotts Dr
Elk Grove, CA 95757-1729

Phone

(916) 895-2890

NPI assigned

Jun 26, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Deane Jeffrey DejarescoNPI 1467398693

Title

Ceo

Phone

(916) 620-6235

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deane Jeffrey Dejaresco

  • Adult Care Home Facility
  • Elk Grove, CA
  • NPI 1467398693
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1782432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1326964917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10070 KNOTTS DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957571729",
            "telephone_number": "916-895-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10070 KNOTTS DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957571729",
            "telephone_number": "916-895-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS HOME FOR SENIORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-26",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "DEJARESCO",
        "authorized_official_first_name": "DEANE JEFFREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-620-6235",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Another Choice Another Chance
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• Adult Care Home Facility in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Adult Care Home Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.