Elderly Guest Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ELDERLY GUEST HOME

Practice address

8774 Kelsey Dr
Elk Grove, CA 95624-1845

Phone

(916) 304-3575

NPI assigned

Oct 30, 2024

Organization subpart

No

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

Authorized official

Name

Sarah Egante

Title

Licensee

Phone

(916) 604-3575

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1811719792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8774 KELSEY DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241845",
            "telephone_number": "916-304-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8774 KELSEY DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241845",
            "telephone_number": "916-304-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERLY GUEST HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "EGANTE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "916-604-3575"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.