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FERN HOME 1
NPI 1972029486
Assisted Living Facility in Riverside, CA

Active since August 16, 2017
3875 MEGGINSON LN, RIVERSIDE, CA 92503(310) 997-8204 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 16, 2017 (2 updates tracked since 2017).

About Fern Home 1 NPPES

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

FERN HOME 1 (NPI 1972029486) is a healthcare organization registered as an assisted living facility in Riverside, California and active in the NPI registry since August 2017. The organization lists Joi Mae Gubalane, Licensee/administrator, as its authorized official.

NPPES Registry Identity

NPI1972029486
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFERN HOME 1 LLC
Location Address3875 MEGGINSON LNRiverside, CA 92503-3425
Mailing Address3875 Megginson LaneRiverside, CA 92503 · (310) 997-8204
Phone(310) 997-8204
Organization SubpartNo
Authorized OfficialJoi Mae GubalaneLicensee/administrator · (310) 997-8204
Enumeration DateAugust 16, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1972029486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in CA · 331800142
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.
3875 MEGGINSON LN, Riverside, CA 92503
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Other Names 1

Other NameFern Home 1

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 Fern Home 1 LLC's NPI number?

The NPI number for Fern Home 1 LLC is 1972029486. It was assigned to this organization in the NPPES registry on August 16, 2017. The provider is also known as Fern Home 1.

Where is Fern Home 1 LLC located?

Fern Home 1 LLC is located at 3875 Megginson Ln, Riverside, CA 92503. The listed phone number is (310) 997-8204.

What is Fern Home 1 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 Fern Home 1 LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.