Active NPI
Signature Living on Shady River Circle, LLC
- Assisted Living Facility
- Sacramento, CA
National Provider Identifier
1528979002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- SIGNATURE LIVING ON SHADY RIVER CIRCLE, LLC
- Practice address
- 51 Shady River Cir
Sacramento, CA 95831-3432 - Phone
- (916) 812-0944
- Fax
- (916) 266-9391
- NPI assigned
- Sep 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edgar Enero
- Title
- Ceo
- Phone
- (916) 812-0944
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
51 Shady River Cir
Sacramento, CA 95831-3432
Mailing address
4453 Sophistry Dr
Rancho Cordova, CA 95742-8073
Phone (916) 812-0944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789430400000",
"number": "1528979002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4453 SOPHISTRY DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "957428073",
"telephone_number": "916-812-0944",
"fax_number": "916-266-9391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 SHADY RIVER CIR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958313432",
"telephone_number": "916-812-0944",
"fax_number": "916-266-9391"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIGNATURE LIVING ON SHADY RIVER CIRCLE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-15",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A",
"authorized_official_last_name": "ENERO",
"authorized_official_first_name": "EDGAR",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "916-812-0944"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.