Fern Home 1

LBN: Fern Home 1 Llc
Fern Home 1 is an health care organization with primary practice located at 3875 Megginson Ln , Riverside CA 92503-3425. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Fern Home 1 Llc can be contacted via phone (310) 997-8204, or through Gubalane, Joi Mae via phone (310) 997-8204.

Contact Information

Primary practice address
3875 Megginson Ln Riverside CA 92503-3425
Fax:
Website:
Authorized official contact:
Name: Gubalane, Joi Mae RCFE ADMINISTRATOR

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 331800142 California

Profile Details

NPI number 1972029486
LBN Legal business name Fern Home 1 Llc
DBA Doing business as Fern Home 1
Authorized official Gubalane, Joi Mae RCFE ADMINISTRATOR
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2017
Last updated Jul 21st, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers