Roann Services LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ROANN SERVICES LLC

Doing business as

EXCEPTIONAL SENIOR HOME

Practice address

10740 Oakwilde Ave
Stockton, CA 95212-9249

Phone

(120) 940-6661

Fax

(209) 729-5777

NPI assigned

Nov 2, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Praxedes Sedy Demesa, MPA NHA

Title

President

Phone

(209) 406-6610

Specialties & licenses 1

Addresses

Other names 1

• EXCEPTIONAL SENIOR HOME Doing business as

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1881359024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10740 OAKWILDE AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952129249",
            "telephone_number": "209-406-6610",
            "fax_number": "209-729-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10740 OAKWILDE AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952129249",
            "telephone_number": "120-940-6661",
            "fax_number": "209-729-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANN SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "DEMESA",
        "authorized_official_first_name": "PRAXEDES",
        "authorized_official_middle_name": "SEDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-406-6610",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPA NHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXCEPTIONAL SENIOR HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Eugene Rizzolo, DDS
• Isabell Roa Rodriguez
• Eduardo H Roa, D.D.S.
• Helecia Roach
• Robert Harold Roam
• Kathryn Roark
• Laura Elizabeth Robbins Rios, MFT 128355
• Roberto V Espejo Jr DDS a Professional Dental Corporation
• Alfred L Roberts
• Chelsey Marie Vililla Roberts

• Assisted Living Facility in Stockton, CA
• Providers in Stockton, 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 Nov 2, 2021; 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.