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BLISSFUL JACKSON FACILITY LLC
NPI 1164245304
Assisted Living Facility in Riverside, CA

Active since November 06, 2024
4105 JACKSON ST, RIVERSIDE, CA 92503(310) 729-3844 Get Directions Write a Review

NPPES record last updated: November 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blissful Jackson Facility Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLISSFUL JACKSON FACILITY LLC (NPI 1164245304) is a healthcare organization registered as an assisted living facility in Riverside, California and active in the NPI registry since November 2024. The organization lists Ken Clavio, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164245304
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBLISSFUL JACKSON FACILITY LLC
Location Address4105 JACKSON STRiverside, CA 92503-3911
Mailing Address4105 Jackson StRiverside, CA 92503-3911 · (310) 729-3844
Phone(310) 729-3844
Organization SubpartNo
Authorized OfficialKen ClavioCeo · (310) 729-3844
Enumeration DateNovember 6, 2024
Last NPPES UpdateNovember 9, 2024
NPPES CertifiedNovember 9, 2024
✔ NPI 1164245304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
4105 JACKSON ST, Riverside, CA 92503
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blissful Jackson Facility LLC's NPI number?

The NPI number for Blissful Jackson Facility LLC is 1164245304. It was assigned to this organization in the NPPES registry on November 6, 2024.

Where is Blissful Jackson Facility LLC located?

Blissful Jackson Facility LLC is located at 4105 Jackson St, Riverside, CA 92503. The listed phone number is (310) 729-3844.

What is Blissful Jackson Facility LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Blissful Jackson Facility LLC was last updated on November 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.