MEDICARE: ERA SENIOR LIVING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1265397301
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ERA SENIOR LIVING LLC

Provider Business Mailing Address
First Line	:	9723 VINTAGE PARK DR
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95829-6114
Country	:	US
Telephone Number	:	916-707-7278
Fax Number	:	916-999-5060

Provider Business Practice Location Address
First Line	:	9723 VINTAGE PARK DR
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95829-6114
Country	:	US
Telephone Number	:	916-707-7278
Fax Number	:	916-999-5060

Authorized Official
Title or Position	:	OWNER,ADMINISTRATOR
Name	:	JASKARAN S WARRAICH
Credential	:
Telephone Number	:	707-699-0775

Provider Enumeration Date	:	12/22/2025
Last Update Date	:	12/22/2025

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