Signature Living on Camelie Avenue LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SIGNATURE LIVING ON CAMELIE AVENUE LLC

Doing business as

Signature Living On Camelia Avenue

Practice address

904 Camelia Ave
Roseville, CA 95678-3302

Phone

(916) 899-5880

Fax

(916) 721-2762

NPI assigned

Oct 25, 2023

Organization subpart

No

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

Authorized official

Name

Scott Afable

Title

Managing Member

Phone

(916) 952-4348

Specialties & licenses 1

Addresses

Other names 1

• Signature Living On Camelia Avenue Doing business as

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1174395800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 ROCKY MOUNTAIN WAY",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957479347",
            "telephone_number": "916-952-4348",
            "fax_number": "916-721-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 CAMELIA AVE",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956783302",
            "telephone_number": "916-899-5880",
            "fax_number": "916-721-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE LIVING ON CAMELIE AVENUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "AFABLE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "916-952-4348"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature Living On Camelia Avenue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sierra Pregnancy & Health
• Sierra Rehabilitation Medical Associates Inc
• Sierra Rose Family Physicians Medical Group
• Sierra West Rcfe
• Alexandra Sierra, MA
• Joseph Silas
• Neil Silk, O.D.
• Cynthia Nogueira Pacheco Silva, CNM/WHNP
• Elizabeth Yolanda Silva
• Jose Josh Silva, MD

• Assisted Living Facility in Roseville, CA
• Providers in Roseville, 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 26, 2023; 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.