Organization Active NPI

Signature Living on Shady River Circle, LLC

  • Assisted Living Facility
  • Sacramento, CA
National Provider Identifier
1528979002
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Sep 15, 2026

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)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.